Provider Demographics
NPI:1952625477
Name:HAHN, STELLA SAEROM (MD)
Entity Type:Individual
Prefix:
First Name:STELLA
Middle Name:SAEROM
Last Name:HAHN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:410 LAKEVILLE RD STE 107
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11042-1102
Mailing Address - Country:US
Mailing Address - Phone:516-465-5400
Mailing Address - Fax:516-465-5454
Practice Address - Street 1:410 LAKEVILLE RD STE 107
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11042-1102
Practice Address - Country:US
Practice Address - Phone:516-465-5400
Practice Address - Fax:516-465-5454
Is Sole Proprietor?:No
Enumeration Date:2010-03-26
Last Update Date:2019-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY263466207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine