Individual provider · Type 1 NPI

Hyon Jin Bae, FNP

Family Nurse Practitioner · Stony Brook, NY

NPI number 1215330717 Active

Practice location

101 Nicolls Rd
Stony Brook, NY 11794-0001

Mailing address

181 N Belle Mead Rd Ste 2
East Setauket, NY 11733-3495

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X350044 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1215330717

Hyon Jin Bae, FNP's National Provider Identifier is 1215330717, issued on Sep 29, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Stony Brook, NY. The record was last updated on Aug 8, 2022.