Healthcare Provider Details

I. General information

NPI: 1154342806
Provider Name (Legal Business Name): ZENGYU HSU OD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

227 MADISON ST
NEW YORK NY
10002-7537
US

IV. Provider business mailing address

18 TANGLEWOOD PL E
MONROE TOWNSHIP NJ
08831-3267
US

V. Phone/Fax

Practice location:
  • Phone: 212-238-7353
  • Fax:
Mailing address:
  • Phone: 732-605-1764
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number005397
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: