Healthcare Provider Details

I. General information

NPI: 1962062232
Provider Name (Legal Business Name): DANIEL TING-HAO HSU
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2019
Last Update Date: 08/13/2024
Certification Date: 08/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2678 SOUTH RD STE 202
POUGHKEEPSIE NY
12601-5254
US

IV. Provider business mailing address

2678 SOUTH RD STE 202
POUGHKEEPSIE NY
12601-5254
US

V. Phone/Fax

Practice location:
  • Phone: 845-790-5700
  • Fax:
Mailing address:
  • Phone: 845-790-5700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number329286
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: