Healthcare Provider Details

I. General information

NPI: 1154250496
Provider Name (Legal Business Name): YU HAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: REBECCA HAN

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2302 AVENUE U UNIT 290147
BROOKLYN NY
11229-7504
US

IV. Provider business mailing address

2302 AVENUE U UNIT 290147
BROOKLYN NY
11229-7504
US

V. Phone/Fax

Practice location:
  • Phone: 347-708-0777
  • Fax:
Mailing address:
  • Phone: 347-708-0777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: