Individual provider · Type 1 NPI

Angela Sora Han

Pediatric Nurse Practitioner · Flushing, NY

NPI number 1417567991 Active

Practice location

5645 Main St
Flushing, NY 11355-5045

Mailing address

2649 Strang Blvd Ste 304
Yorktown Heights, NY 10598-2938

Other practice locations

  • 2901 216th St, Bayside, NY 11360-2810 · (718) 281-8701
  • 26901 76th Ave, New Hyde Park, NY 11040-1433 · (718) 470-3265
  • 1 Gustave L Levy Pl, New York, NY 10029-6504 · (212) 241-7022

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X383134 (NY)
Registered Nurse 163W00000X758065 (NY)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1417567991

Angela Sora Han's National Provider Identifier is 1417567991, issued on Aug 9, 2020. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Flushing, NY. The record was last updated on Feb 10, 2026.