Provider Demographics
NPI:1033259593
Name:HAN FAVER, DOREEN DAWYUAN (MD)
Entity Type:Individual
Prefix:DR
First Name:DOREEN
Middle Name:DAWYUAN
Last Name:HAN FAVER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1160 5TH AVE
Mailing Address - Street 2:STE 101
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-6928
Mailing Address - Country:US
Mailing Address - Phone:646-300-4565
Mailing Address - Fax:646-924-3933
Practice Address - Street 1:1160 5TH AVE
Practice Address - Street 2:STE 101
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6928
Practice Address - Country:US
Practice Address - Phone:646-300-4565
Practice Address - Fax:646-924-3933
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2013-02-01
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Provider Licenses
StateLicense IDTaxonomies
NY2330042084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry