Most Relevant Information
Provider Data
NPI Number: | 1003433996 |
Provider Name: | HANA BAK |
Entity Type: | Individual |
Taxonomy Code: | 332B00000X |
Specialty: | Durable Medical Equipment & Medical Supplies |
License Number: |
Most Important Dates
Enumeration Date: | 06/26/2020 |
Last Updated: | 05/17/2022 |
Provider Practice Location
5320 OCEANIA ST
OAKLAND GARDENS
NY
113641740
Practice Location Phone/Fax
Phone: | 6467124628 |
Fax: |
Provider Mailing Location
16315 NORTHERN BLVD STE 2
FLUSHING
NY
113582667
Provider Mailing Phone/Fax
Phone: | 6467124628 |
Fax: |