Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0120X | Pediatric Surgery | 282785 | NY |
NPI | 1396102422 |
---|---|
Provider Name | Ms. Helen Hsieh |
First Address | Stony Brook, NY 11790-0989 |
Second Address | Stony Brook, NY 11794-8191 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/01/2016 |
Last Update Date | 02/03/2016 |