Provider Demographics
NPI:1003101924
Name:HSU, MILTON (MD)
Entity Type:Individual
Prefix:DR
First Name:MILTON
Middle Name:
Last Name:HSU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 ASTOR PL
Mailing Address - Street 2:#2A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-6922
Mailing Address - Country:US
Mailing Address - Phone:917-769-4480
Mailing Address - Fax:
Practice Address - Street 1:21 ASTOR PL
Practice Address - Street 2:#2A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-6922
Practice Address - Country:US
Practice Address - Phone:917-769-4480
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-20
Last Update Date:2011-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY211064207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery