Healthcare Provider Details

I. General information

NPI: 1346509841
Provider Name (Legal Business Name): RICHARD NENG-HSING HSU L.AC.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2012
Last Update Date: 05/04/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

133 E 58TH ST SUITE 307
NEW YORK NY
10022-1236
US

IV. Provider business mailing address

330 COLLEGE RD
BRONX NY
10471-3002
US

V. Phone/Fax

Practice location:
  • Phone: 917-721-7937
  • Fax:
Mailing address:
  • Phone: 917-721-7937
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number004806
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: