Provider Demographics
NPI:1598642662
Name:HANYABUI, PRINCESS
Entity type:Individual
Prefix:
First Name:PRINCESS
Middle Name:
Last Name:HANYABUI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:N/A
Other - Middle Name:
Other - Last Name:N/A
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3630 WHITE PLAINS RD # 1056
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467-5726
Mailing Address - Country:US
Mailing Address - Phone:914-615-1125
Mailing Address - Fax:718-708-6349
Practice Address - Street 1:3630 WHITE PLAINS RD # 1056
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-5726
Practice Address - Country:US
Practice Address - Phone:914-615-1125
Practice Address - Fax:718-708-6349
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-19
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7QBT8WYOFN224P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist