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Chong Sup Han, MD
Student in an Organized Health Care Education/Training Program in Glen Cove, New York
NPI 1710636899

Chong Sup Han is a Student in an Organized Health Care Education/Training Program based in Glen Cove, NY. Chong Sup Han practices in Glen Cove, NY and has the professional credentials of MD. The NPI Number for Chong Sup Han is 1710636899 and holds a License No. (New York).

The current practice location address for Chong Sup Han is 101 Saint Andrews Ln, Glen Cove, NY and can be reached out via phone at 516-674-7631.

Location: 101 Saint Andrews Ln, Glen Cove, NY, 11542-2254
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710636899
Provider Name
Chong Sup Han
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
101 Saint Andrews Ln, Glen Cove, NY, 11542-2254
Phone Number
516-674-7631
Fax Number
Provider Enumeration Date
03/23/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
101 Saint Andrews Ln
City
Glen Cove
State
New York
Zip
11542-2254
Phone Number
516-674-7631
Fax Number
person
Provider Business Mailing Address Details
Address
101 Saint Andrews Ln
City
Glen Cove
State
New York
Zip
11542-2254
Phone Number
516-674-7631
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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