HANA GASTROENTEROLOGY PC NPI 1104139070

NPI Information

  • NPI: 1104139070
  • Provider Name: HANA GASTROENTEROLOGY PC
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Organization
  • CLIA Number: 33D2014602
  • Address: 15301 NORTHERN BLVD
    2D
    FLUSHING, NY
    ZIP 11354
  • Phone: (718) 321-3210

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NPI Details

HANA GASTROENTEROLOGY PC is a gastroenterology internal medicine in Flushing, NY. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. HANA GASTROENTEROLOGY PC NPI is 1104139070. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

15301 NORTHERN BLVD
2D
FLUSHING, NY
ZIP 11354-035
Phone: (718) 321-3210
Fax: (212) 685-4073

The provider's authorized official is Hyun Geun Jae .
The authorized official title is President and has the following contact phone number (718) 321-3210.

The CLIA number assigned to this NPI record is 33D2014602 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/21/2010 and was last updated on 11/2/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0100XInternal MedicineGastroenterology241219NEW YORKYes

What is NPI?

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This page was last updated on: 3/30/2025

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