Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207N00000X | Dermatologist | 222828 | NY |
Y | 207ND0101X | MOHS-Micrographic Surgeon | 222828 | NY |
NPI | 1164501086 |
---|---|
Provider Name | Sherry H. Hsiung |
First Address | New York, NY 10007-1131 |
Second Address | Brooklyn, NY 11209-3957 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2006 |
Last Update Date | 09/10/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I49852 | (02) | NY |