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NPI Code Detail

MEDICARE: JOLIE HSU MD

MEDICARE: JOLIE HSU MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician281333NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548528912
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOLIE HSU MD
Provider Business Mailing Address
First Line : 3332 BROADWAY
Second Line :
City : NEW YORK
State : NY
Zip : 10031-8732
Country : US
Telephone Number : 212-694-2000
Fax Number : 212-694-2936
Provider Business Practice Location Address
First Line : 3332 BROADWAY
Second Line :
City : NEW YORK
State : NY
Zip : 10031-8732
Country : US
Telephone Number : 212-694-2000
Fax Number : 212-694-2936
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2012
Last Update Date : 12/04/2019

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