Healthcare Provider Details

I. General information

NPI: 1912995903
Provider Name (Legal Business Name): JOHN T HSUEH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2005
Last Update Date: 08/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4345 PARSONS BLVD
FLUSHING NY
11355-2164
US

IV. Provider business mailing address

4345 PARSONS BLVD
FLUSHING NY
11355-2164
US

V. Phone/Fax

Practice location:
  • Phone: 718-886-6400
  • Fax: 718-321-0550
Mailing address:
  • Phone: 718-886-6400
  • Fax: 718-321-0550

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number119741
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number119741
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: