Individual provider · Type 1 NPI

Hae Ran Song

Specialist · Bayside, NY

NPI number 1386192847 Active

Practice location

21140 18th Ave, 3A
Bayside, NY 11360-1534

Call (718) 578-8299 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X1107126 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1386192847

Hae Ran Song's National Provider Identifier is 1386192847, issued on Sep 13, 2016. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Bayside, NY. The record was last updated on Sep 13, 2016.