KYUNG B HAN (NPI# 1922118033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922118033 |
| Entity Type | Individual |
| Full Name | KYUNG B HAN |
| Credential | MD |
| Practice Address |
15 Laurel Ave Suite 100 Cornwall NY 12518-1403 |
| Practice Telephone | 8454589000 |
| Practice Fax Number | 8454589001 |
| Mailing Telephone | 8454589000 |
| Mailing Fax Number | 8454589001 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2016-04-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
183949 | NY | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
25MA06934900 | NJ | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
183949 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | AFFINITY HEALTH PLANS | 1000066816 | 01 |
| NY | AETNA HMO PROVIDER # | 1768750 | 01 |
| NY | 1199 HEALTH FUND PROVIDER # | 183949-NY | 01 |
| NY | FIDELIS CARE | 080506000082 | 01 |
| NY | EMPIRE BCBS (YONKERS) | 2686E1 | 01 |
| NY | 01267918 | 05 | |
| NY | US FAMILY HEALTH PLAN | 321310 | 01 |
| NY | AETNA PPO PROVIDER # | 5551677 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316304413 | Kyung Han | Case Manager/Care Coordinator | 950 Kent Avenue, 3f, Brooklyn, NY 11205 | 2016-01-20 |
| 1699868224 | Kyung Mo Han | Internal Medicine | 2655 W Olympic Blvd Ste 201, Los Angeles, CA 90006-2800 | 2006-10-02 |
| 1225516099 | Kyung Yeup Han | Dentist | 351 Loucks Rd Ste E4, York, PA 17404-1740 | 2018-08-02 |
| 1497722029 | Kyung Han | Internal Medicine | 1145 Broadway, Seattle, WA 98122-4201 | 2006-03-02 |
| Street Address |
15 LAUREL AVE SUITE 100 |
| City | CORNWALL |
| State | NY |
| Zip Code | 12518-1403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558503656 | St. Luke's Cornwall Jv, LLC | Radiology | 15 Laurel Ave, Suite 100, Cornwall, NY 12518-1403 | 2009-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548883697 | Rose Ema Francine Dubreus Pierre | Registered Nurse | 40 Firth Street, Cornwall, NY 12518 | 2020-05-23 |
| 1255847406 | Casey Marianne Undersinger | Occupational Therapist | 340 Hudson Street, Cornwall, NY 12518 | 2017-12-26 |
| 1629287107 | Clifford James Russ | Dentist | 41 Ridge Road, Cornwall, NY 12518 | 2007-05-22 |
| 1740687474 | Carolann Frances Furchi | Psychologist | 186 Main Street, Cornwall, NY 12518 | 2014-11-24 |
| 1952661274 | Kirti Joseph | Student in an Organized Health Care Education/Training Program | Hudson Vista Medical, PC, 21 Laurel Avenue, Suite 280, Cornwall, NY 12518 | 2012-05-21 |
| 1255564969 | Manita Sawhney | Internal Medicine | Hudson Vista Medical, PC, 21 Laurel Avenue, Suite 280, Cornwall, NY 12518 | 2009-08-27 |
| 1568583896 | Eastern Orange Ambulatory Surgery Center, LLC | Clinic/Center | 21 Laurel Ave, Suite 120, Cornwall, NY 12518 | 2007-04-03 |
| 1518022771 | Pelella Apothecary Inc | Pharmacy | 21 Laurel Ave, Ste 110, Cornwall, NY 12518 | 2006-12-27 |
| 1245327162 | Thomas V Robb | Surgery | 21 Laurel Ave, Suite 240, Cornwall, NY 12518 | 2006-10-10 |
| 1134233497 | Prestige Physicians Services, Pllc | Family Medicine | 164 Willow Ave, Cornwall, NY 12518 | 2006-08-17 |
| Find all providers in zip 12518 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538321542 | Shana Rose Coplowitz | Radiology | 15 Laurel Ave Ste 100, Cornwall, NY 12518-1403 | 2008-06-30 |
| 1558503656 | St. Luke's Cornwall Jv, LLC | Radiology | 15 Laurel Ave, Suite 100, Cornwall, NY 12518-1403 | 2009-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053875229 | Msk Nassau | Radiology | 1101 Hempstead Turnpike, Uniondale, NY 11553 | 2019-01-22 |
| 1740733575 | Nr Physician Group, Pllc | Radiology | 3910 N Buffalo St, Orchard Park, NY 14127 | 2016-07-28 |
| 1639566516 | Fauzia Shaikh | Radiology | 525 E 68th St # 95, New York, NY 10065-4870 | 2015-04-18 |
| 1306231774 | Lucas Resende Salgado | Radiology | 370 Avenue U Apt 3, Brooklyn, NY 11223-4024 | 2015-04-02 |
| 1083008403 | Alan J. Katz, M.d., Pllc | Radiology | 1781 Hylan Blvd, Staten Island, NY 10305-1917 | 2015-03-24 |
| 1417368721 | Moses Min-chi Tam | Radiology | 550 1st Ave Fl 2, New York, NY 10016-6402 | 2014-05-09 |
| 1649690629 | Christine Chin | Radiology | 622 West 168th Street Chony North B-level, New York, NY 10032 | 2014-04-17 |
| 1336566272 | Stanislav Lazarev | Radiology | 1184 5th Avenue, First Floor, Pm-124, New York, NY 10029-1002 | 2014-03-27 |
| 1548683022 | Metropolitan Radiation Oncology Consulting PC | Radiology | 686 Stoneleigh Ave., Carmel, NY 10512 | 2014-02-04 |
| 1295070845 | Ezzat T Youssef | Radiology | 5 Ridge Ave, Staten Island, NY 10304-1418 | 2012-12-09 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KYUNG B HAN.
| 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.