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General NPI Number Information
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NPI Number | 1639486327
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Entity Type | Individual
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Provider Name | HLA MYINT MD
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Gender | Male
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Dates
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Enumeration Date | 09/02/2010
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Last Update Date | 03/13/2014
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Provider Practice Location Address
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Address Line | 760 BROADWAY WOODHULL MEDICAL CENTER
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City | BROOKLYN
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State | NY
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Zip | 11206-5317
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Country | US
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Telephone | 718-963-8440
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Fax |
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Provider Business Mailing Address
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Address Line | 252 NEW HYDE PARK RD
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City | GARDEN CITY
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State | NY
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Zip | 11530-2326
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Country | US
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Telephone | 718-271-4397
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number | 258201
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 258201
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License Number State | NY
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