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Individual

PAUL HAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
71 VANDERBILT AVE, NEW YORK, NY 10169-0005
(516) 505-7200
Mailing address
71 VANDERBILT AVE FL 3, NEW YORK, NY 10169-0005

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
405085
NY

Other

Enumeration date
08/17/2023
Last updated
10/18/2023
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