Healthcare Provider Details

I. General information

NPI: 1033703707
Provider Name (Legal Business Name): CHUAN HSU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2021
Last Update Date: 02/23/2021
Certification Date: 02/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4160 MAIN ST STE 209
FLUSHING NY
11355-3899
US

IV. Provider business mailing address

4214 CRESCENT ST APT 7C
LONG ISLAND CITY NY
11101-4451
US

V. Phone/Fax

Practice location:
  • Phone: 917-933-8503
  • Fax:
Mailing address:
  • Phone: 917-891-5356
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: