| Hana Gastroenterology Pc | |
|
15301 Northern Blvd 2d Flushing NY 11354-5035 | |
| (718) 321-3210 | |
| (212) 685-4073 |
| Full Name | Hana Gastroenterology Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 15301 Northern Blvd, Flushing, New York |
| Authorized Official Name and Position | Hyun Geun Jae (PRESIDENT) |
| Authorized Official Contact | 7183213210 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hana Gastroenterology Pc 15301 Northern Blvd 2d Flushing NY 11354-5035 Ph: (718) 321-3210 | Hana Gastroenterology Pc 15301 Northern Blvd 2d Flushing NY 11354-5035 Ph: (718) 321-3210 |
| NPI Number | 1104139070 |
|---|---|
| Provider Enumeration Date | 07/21/2010 |
| Last Update Date | 11/02/2010 |
| Medicare PECOS PAC ID | 5991990079 |
|---|---|
| Medicare Enrollment ID | O20101115000981 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104139070 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 241219 (New York) | Primary |
| Provider Name | Jae Geun Hyun |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700045598 PECOS PAC ID: 9032259528 Enrollment ID: I20101115001100 |
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