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NPI Code Detail

MEDICARE: JOANNE HAN

MEDICARE:   JOANNE  HAN
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
1174400000XSpecialist019223NY

General Provider Information

NPI Number : 1043609217
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOANNE HAN
Provider Business Mailing Address
First Line : 6451 223RD PL APT B
Second Line :
City : OAKLAND GARDENS
State : NY
Zip : 11364-2344
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6451 223RD PL APT B
Second Line :
City : OAKLAND GARDENS
State : NY
Zip : 11364-2344
Country : US
Telephone Number : 347-235-0560
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2015
Last Update Date : 05/18/2015

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Directions to “ JOANNE HAN ” Practice Location

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