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Individual

HUN HAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(631) 968-3314
Mailing address
15 LEATHERSTOCKING LN, MAMARONECK, NY 10543-1115
(914) 698-9055

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
165557
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01050866
NY
Enumeration date
01/16/2007
Last updated
07/30/2009
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