HYEYOON HANNAH PARK (NPI# 1760840201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760840201 |
| Entity Type | Individual |
| Full Name | HYEYOON HANNAH PARK |
| Practice Address |
4012 80th St Elmhurst NY 11373-1234 |
| Practice Telephone | 7188869000 |
| Mailing Telephone | 7188869000 |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2016-08-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
F307577-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4012 80TH ST |
| City | ELMHURST |
| State | NY |
| Zip Code | 11373-1234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912954140 | Bognay Dury Domanas | Physical Therapist | 4012 80th St, Elmhurst, NY 11373-1234 | 2006-05-31 |
| 1235774811 | Samantha Hussain | Physician Assistant | 4012 80th St, Elmhurst, NY 11373-1234 | 2019-11-07 |
| 1982940268 | Suraj Mathial | Physician Assistant | 4012 80th St, Elmhurst, NY 11373-1234 | 2012-12-14 |
| 1144483843 | Marie Claire Leger | Dermatology | 4012 80th St, Elmhurst, NY 11373 | 2008-07-03 |
| 1043488943 | Emmanuel Agnant | Physician Assistant | 4012 80th St, Elmhurst, NY 11373-1234 | 2008-02-13 |
| 1457549503 | Maurice Botero | Specialist | 4012 80th St, Elmhurst, NY 11373-1234 | 2007-10-12 |
| 1730201575 | Bertha Ligia Rivera | Specialist | 4012 80th St, Elmhurst, NY 11373-1234 | 2007-04-04 |
| 1124145289 | Romilla Anwar | Specialist | 4012 80th St, Elmhurst, NY 11373-1234 | 2007-03-23 |
| 1033236229 | Simon Biderman | Specialist | 4012 80th St, Elmhurst, NY 11373-1234 | 2007-03-23 |
| 1558446674 | Hyun-soo Lee | Dermatology | 4012 80th St, Elmhurst, NY 11373-1234 | 2006-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376152736 | Carlos Eduardo Hallo Carrasco | Student in an Organized Health Care Education/Training Program | 79-01 Broadway, 10, C 10-19a, Elmhurst, NY 11373 | 2020-07-30 |
| 1912524034 | Jurian Feygen Kaunang | Student in an Organized Health Care Education/Training Program | Bronx-lebanon Hospital Center, 1650 Grand Concourse, Bronx, NY 11373 | 2020-07-06 |
| 1407471352 | Shreeya Parajull | Student in an Organized Health Care Education/Training Program | 79-01 Broadway Elmhurst Hospital Center:, Room A7-34, Elmhurst, NY 11373 | 2020-06-16 |
| 1114542479 | Mahmud Omar Elfituri | Student in an Organized Health Care Education/Training Program | 79-01 Boradway, Elmhurst, NY 11373 | 2020-06-12 |
| 1568091452 | Nudjarin Unsin | Licensed Practical Nurse | 7517 41stave, Apt.f3, Elmhurst, NY 11373 | 2020-04-03 |
| 1154969053 | Joshua Reyes | Physician Assistant | 8839 Saint James Ave, Elmhurst, NY 11373 | 2019-12-11 |
| 1821647926 | Shahorin Monzoor | Student in an Organized Health Care Education/Training Program | 81 14 Queens Boulavard, 1st Floor, Elmhurst, NY 11373 | 2019-09-11 |
| 1174184600 | Zoila Josefina Cano Rodriguez | Student in an Organized Health Care Education/Training Program | 7802 41st Ave, Elmhurst, NY 11373 | 2019-06-25 |
| 1891355756 | Kanghee Cho | Registered Nurse | 4143 77th St Elmhurst, Elmhurst, NY 11373 | 2019-06-13 |
| 1861971947 | Allen G Luke | Acupuncturist | 86-21 53 Ave, Elmhurst, NY 11373 | 2018-08-09 |
| Find all providers in zip 11373 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972104958 | Jonathan Dillera Nietes | Nurse Practitioner | 4411 Macnish St Apt 1g, Elmhurst, NY 11373-3609 | 2020-11-05 |
| 1114478476 | Tsering Lhamo | Nurse Practitioner | 9030 53rd Ave Apt 3, Elmhurst, NY 11373-4540 | 2016-10-20 |
| 1366997363 | Ying Chen | Nurse Practitioner | 8833 51st Ave, Apt 2b, Elmhurst, NY 11373-3978 | 2016-08-18 |
| 1356717342 | Moisey Simkhayev | Nurse Practitioner | 4047 95th St Apt B, Elmhurst, NY 11373 | 2015-08-13 |
| 1508259722 | Hyun Ji Choi | Nurse Practitioner | 7656 47th Ave, 3fl, Elmhurst, NY 11373-2965 | 2015-03-12 |
| 1982955308 | Kyaw Naing | Nurse Practitioner | 5155 Van Kleeck St Apt 3k, Elmhurst, NY 11373-4218 | 2012-09-25 |
| 1629224035 | Ma.riza Lising | Nurse Practitioner | 8710 Corona Ave Fl 3, Elmhurst, NY 11373-3900 | 2008-08-18 |
| 1609041029 | Joy Chizoba Nwigwe | Nurse Practitioner | 110 E Schiller St Ste 318, Elmhurst, IL 60126-2823 | 2008-04-26 |
| 1780857920 | Nancy H Daly | Nurse Practitioner | 110 E. Schiller Street Suite 319, Np Care of Il LLC, Elmhurst, IL 60126 | 2008-04-09 |
| 1750552360 | Deborah A Panuska | Nurse Practitioner | 110 E Schiller St Ste 319, Elmhurst, IL 60126-2823 | 2008-03-23 |
| Find all providers in ELMHURST | ||||
Please comment or provide details below to improve the information on HYEYOON HANNAH PARK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.