Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0201X | Pediatric Allergist | 178598 | NY |
NPI | 1538230099 |
---|---|
Provider Name | Won Hee Baik-Han |
First Address | Melville, NY 11747-4230 |
Second Address | Flushing, NY 11355-2205 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/11/2006 |
Last Update Date | 27/01/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01166361 | (05) | NY |
E38148 | (02) | NY |