Individual
JOSEPH HAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17416 JEWEL AVE, FRESH MEADOWS, NY 11365-3426
(718) 969-4705
Mailing address
17416 JEWEL AVE, FRESH MEADOWS, NY 11365-3426
(718) 969-4705
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
5359441
NY
Other
Enumeration date
06/29/2010
Last updated
06/29/2010
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