Provider Demographics
NPI:1639118961
Name:HAN, SEO KEE (MD)
Entity Type:Individual
Prefix:DR
First Name:SEO
Middle Name:KEE
Last Name:HAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:245 N. BROADWAY
Mailing Address - Street 2:SUITE 203
Mailing Address - City:SLEEPY HOLLOW
Mailing Address - State:NY
Mailing Address - Zip Code:10591
Mailing Address - Country:US
Mailing Address - Phone:914-332-7170
Mailing Address - Fax:914-332-7225
Practice Address - Street 1:245 N. BROADWAY
Practice Address - Street 2:SUITE 203
Practice Address - City:SLEEPY HOLLOW
Practice Address - State:NY
Practice Address - Zip Code:10591
Practice Address - Country:US
Practice Address - Phone:914-332-7170
Practice Address - Fax:914-332-7225
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-05
Last Update Date:2010-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY200098207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01694384Medicaid
NY133904360OtherTAX ID NUMBER
NYG35475Medicare UPIN