Provider Demographics
NPI:1366839706
Name:NAM, HYE IN (DMD)
Entity Type:Individual
Prefix:
First Name:HYE IN
Middle Name:
Last Name:NAM
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:LISA
Other - Middle Name:
Other - Last Name:NAM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4422 THIRD AVE.
Mailing Address - Street 2:ST. BARNABAS HOSPITAL. DEPARTMENT OF DENTISTRY
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10457-2594
Mailing Address - Country:US
Mailing Address - Phone:718-960-9000
Mailing Address - Fax:
Practice Address - Street 1:4422 THIRD AVE
Practice Address - Street 2:BARNABAS HOSPITAL. DEPARTMENT OF DENTISTRY
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10457-2594
Practice Address - Country:US
Practice Address - Phone:718-960-9000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-23
Last Update Date:2015-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program