Provider Demographics
NPI:1356224539
Name:QIN, CHRISTOPHER HAN (MED, LIMITED PERMIT)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:HAN
Last Name:QIN
Suffix:
Gender:M
Credentials:MED, LIMITED PERMIT
Other - Prefix:
Other - First Name:HANSON
Other - Middle Name:
Other - Last Name:QIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:70 WESTWOOD DR APT 217
Mailing Address - Street 2:
Mailing Address - City:WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11590-1615
Mailing Address - Country:US
Mailing Address - Phone:917-535-6760
Mailing Address - Fax:
Practice Address - Street 1:70 WESTWOOD DR APT 217
Practice Address - Street 2:
Practice Address - City:WESTBURY
Practice Address - State:NY
Practice Address - Zip Code:11590-1615
Practice Address - Country:US
Practice Address - Phone:917-535-6760
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP126292101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health