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NPI Code Detail

MEDICARE: HUI DU PA

MEDICARE:   HUI  DU  PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant005619NY

General Provider Information

NPI Number : 1083636419
Entity Type Code : Individual
Provider Name (Legal Business Name) : HUI DU PA
Provider Business Mailing Address
First Line : NEW YORK HOSPITAL QUEENS WA 100
Second Line : 56-45 MAIN ST
City : FLUSHING
State : NY
Zip : 11355
Country : US
Telephone Number : 718-670-2627
Fax Number : 718-670-2762
Provider Business Practice Location Address
First Line : 3808 UNION ST STE 3H
Second Line :
City : FLUSHING
State : NY
Zip : 11354-5670
Country : US
Telephone Number : 718-661-3738
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2006
Last Update Date : 11/19/2022

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Directions to “ HUI DU PA” Practice Location

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