Individual
HTET SAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
455 SUTTER AVE, BROOKLYN, NY 11212-8111
(718) 765-6550
(347) 620-9739
Mailing address
PO BOX 746087, ATLANTA, GA 30374-6087
(312) 733-9730
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
340029
NY
207Q00000X
Family Medicine Physician
MD486356
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/30/2021
Last updated
01/14/2026
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