Provider Demographics
NPI:1639810880
Name:HYUN, ANGELA HA EUN (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:HA EUN
Last Name:HYUN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:HA EUN
Other - Middle Name:
Other - Last Name:HYUN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:333 E 30TH ST APT 8N
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-6470
Mailing Address - Country:US
Mailing Address - Phone:347-346-2227
Mailing Address - Fax:
Practice Address - Street 1:1 BROOKDALE PLZ
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11212-3139
Practice Address - Country:US
Practice Address - Phone:718-240-5000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-03
Last Update Date:2022-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty