MEDICARE: MR. HLAWN PYAE AUNG R.N

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
1	163W00000X	Registered Nurse	697839	NY
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	407452	NY

General Provider Information

NPI Number	:	1073990545
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. HLAWN PYAE AUNG R.N

Provider Business Mailing Address
First Line	:	2601 E 11TH ST
Second Line	:	1ST FLOOR
City	:	BROOKLYN
State	:	NY
Zip	:	11235-5115
Country	:	US
Telephone Number	:	917-292-0100
Fax Number	:

Provider Business Practice Location Address
First Line	:	2601 E 11TH ST
Second Line	:	1ST FLOOR
City	:	BROOKLYN
State	:	NY
Zip	:	11235-5115
Country	:	US
Telephone Number	:	646-736-8092
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2015
Last Update Date	:	08/15/2025

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