1356224539 NPI number — CHRISTOPHER HAN QIN M.ED, LIMITED PERMIT

Table of content: CHRISTOPHER HAN QIN M.ED, LIMITED PERMIT (NPI 1356224539)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1356224539 NPI number — CHRISTOPHER HAN QIN M.ED, LIMITED PERMIT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
QIN
Provider First Name:
CHRISTOPHER
Provider Middle Name:
HAN
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.ED, LIMITED PERMIT
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
QIN
Provider Other First Name:
HANSON
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1356224539
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/28/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
70 WESTWOOD DR APT 217
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WESTBURY
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11590-1615
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
917-535-6760
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
70 WESTWOOD DR APT 217
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WESTBURY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11590-1615
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
917-535-6760
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/28/2025

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  P126292 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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