Provider Demographics
NPI:1962667295
Name:JUN, HAN H (MS LAC)
Entity Type:Individual
Prefix:MR
First Name:HAN
Middle Name:H
Last Name:JUN
Suffix:
Gender:M
Credentials:MS LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 W 32ND ST FL 6
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-3817
Mailing Address - Country:US
Mailing Address - Phone:212-967-3301
Mailing Address - Fax:212-967-3301
Practice Address - Street 1:30 W 32ND ST FL 6
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-3817
Practice Address - Country:US
Practice Address - Phone:212-967-3301
Practice Address - Fax:212-967-3301
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-25
Last Update Date:2008-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000126171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist