Healthcare Provider Details

I. General information

NPI: 1265909907
Provider Name (Legal Business Name): TZU ANNY HSU MHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/31/2018
Last Update Date: 10/31/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

307 W 38TH ST
NEW YORK NY
10018-2913
US

IV. Provider business mailing address

307 W 38TH ST
NEW YORK NY
10018-2913
US

V. Phone/Fax

Practice location:
  • Phone: 212-367-1214
  • Fax: 718-235-1377
Mailing address:
  • Phone: 212-367-1214
  • Fax: 718-235-1377

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberP11884
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: