Provider Demographics
NPI:1821084203
Name:HAN, MYOUNG HEE ESTHER (OD)
Entity Type:Individual
Prefix:DR
First Name:MYOUNG HEE
Middle Name:ESTHER
Last Name:HAN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:M.H.
Other - Middle Name:ESTHER
Other - Last Name:HAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
Mailing Address - Street 1:33 W 42ND ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10036-8003
Mailing Address - Country:US
Mailing Address - Phone:212-938-4000
Mailing Address - Fax:
Practice Address - Street 1:33 W 42ND ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036-8003
Practice Address - Country:US
Practice Address - Phone:212-938-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-21
Last Update Date:2011-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYVUT006430152WV0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WV0400XEye and Vision Services ProvidersOptometristVision Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYC175H1Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER
NYU87498Medicare UPIN