Healthcare Provider Details

I. General information

NPI: 1992725394
Provider Name (Legal Business Name): CHER YOUNG HSU M.D., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15454 9TH AVE BEECHHURST
WHITESTONE NY
11357-1316
US

IV. Provider business mailing address

15454 9TH AVE BEECHHURST
WHITESTONE NY
11357-1316
US

V. Phone/Fax

Practice location:
  • Phone: 718-767-5913
  • Fax: 718-767-5913
Mailing address:
  • Phone: 718-767-5913
  • Fax: 718-767-5913

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP3300X
TaxonomyPain Clinic/Center
License NumberA090602
License Number StateNY

VIII. Authorized Official

Name: CHER YOUNG HSU
Title or Position: PRESIDENT
Credential: M.D.
Phone: 718-767-5913