Healthcare Provider Details

I. General information

NPI: 1871777607
Provider Name (Legal Business Name): HENRY KAR HANG SIU M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/28/2007
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

139 CENTRE ST STE 307
NEW YORK NY
10013
US

IV. Provider business mailing address

139 CENTRE ST STE 307
NEW YORK NY
10013-4554
US

V. Phone/Fax

Practice location:
  • Phone: 212-334-3507
  • Fax: 646-365-0469
Mailing address:
  • Phone: 212-334-3507
  • Fax: 646-365-0469

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number296712
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberMD444073
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number296712
License Number StateNY
# 4
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number296712
License Number StateNY
# 5
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number048870
License Number StateCT
# 6
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberMT198672
License Number StatePA
# 7
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number048870
License Number StateCT
# 8
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD444073
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: