CHONG SUP HAN

GLEN COVE, NY
NPI1710636899
Other NameSCOTT HAN
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-03-23
Last Update Date2022-03-30
Business Address
CHONG SUP HAN MD
101 SAINT ANDREWS LN
GLEN COVE, NY 11542-2254
Phone number: 516-674-7631
Mailing Address
CHONG SUP HAN MD
101 SAINT ANDREWS LN
GLEN COVE, NY 11542-2254
Phone number: 516-674-7631
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