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Contact Information

KYUNG HEE SONG, NP
101 HOSPITAL RD
PATCHOGUE, NY11772-4870
 Phone: 631-654-7674
 Fax: 631-447-3082
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KYUNG HEE SONG · (Female)

NPI Number 1376878652
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 10/05/2009
Last updated 06/29/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # F305206
Hospital affiliation(s)
  • BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER - (Acute Care)
    101 HOSPITAL ROAD
    PATCHOGUE, NY 11772
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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