Healthcare Provider Details

I. General information

NPI: 1881999886
Provider Name (Legal Business Name): HSIN HSU MHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/21/2011
Last Update Date: 05/31/2023
Certification Date: 05/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4003 NEW UTRECHT AVE FL 2
BROOKLYN NY
11219
US

IV. Provider business mailing address

4001 NEW UTRECHT AVE FL 2
BROOKLYN NY
11219-1001
US

V. Phone/Fax

Practice location:
  • Phone: 478-299-6373
  • Fax:
Mailing address:
  • Phone: 347-829-9637
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: