Healthcare Provider Details

I. General information

NPI: 1841572377
Provider Name (Legal Business Name): MS. YI-MIN HSU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MINDY HSU CRNA

II. Dates (important events)

Enumeration Date: 09/10/2011
Last Update Date: 09/10/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

127 W MAIN ST UNIT 200
TARRYTOWN NY
10591-7502
US

IV. Provider business mailing address

127 W MAIN ST UNIT 200
TARRYTOWN NY
10591-7502
US

V. Phone/Fax

Practice location:
  • Phone: 914-372-7362
  • Fax:
Mailing address:
  • Phone: 914-372-7362
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number541645
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: