Healthcare Provider Details

I. General information

NPI: 1336226828
Provider Name (Legal Business Name): GRACE YUN HUA HSU DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: YUN HUA HSU DDS

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

898 OYSTER BAY RD
E NORWICH NY
11732
US

IV. Provider business mailing address

898 OYSTER BAY RD
E NORWICH NY
11732
US

V. Phone/Fax

Practice location:
  • Phone: 516-922-5740
  • Fax: 516-922-5559
Mailing address:
  • Phone: 516-922-5740
  • Fax: 516-922-5559

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberNY048603
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: