Healthcare Provider Details

I. General information

NPI: 1689653321
Provider Name (Legal Business Name): DAPHNE T HSU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/11/2006
Last Update Date: 10/10/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3415 BAINBRIDGE AVE CHILDREN'S HOSPITAL AT MONTEFIORE
BRONX NY
10467-2403
US

IV. Provider business mailing address

3415 BAINBRIDGE AVE CHILDREN'S HOSPITAL AT MONTEFIORE
BRONX NY
10467-2403
US

V. Phone/Fax

Practice location:
  • Phone: 718-741-2343
  • Fax:
Mailing address:
  • Phone: 718-741-2343
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License Number156936
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: