Provider Demographics
NPI:1174820625
Name:JUNG A HAN, MD, PC
Entity Type:Organization
Organization Name:JUNG A HAN, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JUNG A
Authorized Official - Middle Name:
Authorized Official - Last Name:HAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-714-1860
Mailing Address - Street 1:16 W 32ND ST
Mailing Address - Street 2:SUITE 907
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-3814
Mailing Address - Country:US
Mailing Address - Phone:212-714-1860
Mailing Address - Fax:212-714-1861
Practice Address - Street 1:16 W 32ND ST
Practice Address - Street 2:SUITE 907
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-3814
Practice Address - Country:US
Practice Address - Phone:212-714-1860
Practice Address - Fax:212-714-1861
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-18
Last Update Date:2011-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY258230207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty