Provider Demographics
NPI:1487966016
Name:HWANG, HANNAH HYE-JUNG (DNP)
Entity type:Individual
Prefix:DR
First Name:HANNAH
Middle Name:HYE-JUNG
Last Name:HWANG
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14204 BAYSIDE AVE STE 8L
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-2300
Mailing Address - Country:US
Mailing Address - Phone:718-445-6477
Mailing Address - Fax:718-445-6933
Practice Address - Street 1:14204 BAYSIDE AVE STE 8L
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-2300
Practice Address - Country:US
Practice Address - Phone:718-445-6477
Practice Address - Fax:718-445-6933
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-12
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF336164-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily