Healthcare Provider Details

I. General information

NPI: 1427532886
Provider Name (Legal Business Name): PYAU LUKAS HUNG PSY.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2018
Last Update Date: 09/21/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

71 BROADWAY
DOBBS FERRY NY
10522-2834
US

IV. Provider business mailing address

1775 BALDWIN RD
YORKTOWN HEIGHTS NY
10598-5622
US

V. Phone/Fax

Practice location:
  • Phone: 914-693-3030
  • Fax:
Mailing address:
  • Phone: 914-962-2581
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number018504
License Number StateNY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: