Healthcare Provider Details

I. General information

NPI: 1033268487
Provider Name (Legal Business Name): YING CHIH HSU MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

254 CANAL STREET #5003
NEW YORK NY
10013
US

IV. Provider business mailing address

247 FAIRVIEW AVE
ENGLEWOOD CLIFFS NJ
07632
US

V. Phone/Fax

Practice location:
  • Phone: 212-962-2289
  • Fax:
Mailing address:
  • Phone: 718-888-3169
  • Fax: 718-888-3170

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number117522
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: