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

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