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NPI Code Detail

MEDICARE: JIN-YOUNG HAN MD

MEDICARE: JIN-YOUNG HAN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12080P0208XPediatric Infectious Diseases PhysicianMD00053668MD

General Provider Information

NPI Number : 1770686719
Entity Type Code : Individual
Provider Name (Legal Business Name) : JIN-YOUNG HAN MD
Provider Business Mailing Address
First Line : 505 E 70TH ST
Second Line : 3RD FLOOR, BOX 279
City : NEW YORK
State : NY
Zip : 10021-4872
Country : US
Telephone Number : 646-962-6845
Fax Number : 646-962-0259
Provider Business Practice Location Address
First Line : 505 E 70TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10021-4872
Country : US
Telephone Number : 646-962-6845
Fax Number : 646-962-0259
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2006
Last Update Date : 04/21/2026

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