Provider Demographics
NPI:1265721435
Name:HANNAH H. HWANG FAMILY HEALTH NP P.C.
Entity type:Organization
Organization Name:HANNAH H. HWANG FAMILY HEALTH NP P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:HANNAH
Authorized Official - Middle Name:HYE-JUNG
Authorized Official - Last Name:HWANG
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:718-445-6477
Mailing Address - Street 1:3125 UNION ST
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-2346
Mailing Address - Country:US
Mailing Address - Phone:718-445-6477
Mailing Address - Fax:718-445-6933
Practice Address - Street 1:3125 UNION ST
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-2346
Practice Address - Country:US
Practice Address - Phone:718-445-6477
Practice Address - Fax:718-445-6933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-28
Last Update Date:2019-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF336164261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYF336164Medicaid