Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Hae Ran Song

Individual provider Specialist · NPI 1386192847

Hae Ran Song is a Specialist in Bayside, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2016
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Practice location Address checks out

21140 18th Ave 3A
Bayside, NY 11360-1534
Phone: (718) 578-8299
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 1107126 (NY)

Record details

NPI number1386192847
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 13, 2016
Last updated in NPPESSeptember 13, 2016
Mailing address21140 18th Ave, 3a, Bayside, NY 11360-1534

Other providers in Bayside