Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 186109 | NY |
NPI | 1053473843 |
---|---|
Provider Name | Dr. Warren Wenjsair Hsu |
First Address | Oakland Gardens, NY 11364-3519 |
Second Address | Oakland Gardens, NY 11364-3519 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/12/2006 |
Last Update Date | 26/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
186109 | NY LICENSE # (01) | NY |
G400001034 | PTAN (01) | NY |
G49412 | (02) | NY |