Provider Demographics
NPI:1033163290
Name:HSU, NATALIE H (MD)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:H
Last Name:HSU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
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Mailing Address - Street 1:113 HOLLAND AVE
Mailing Address - Street 2:#111D
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12208-3410
Mailing Address - Country:US
Mailing Address - Phone:518-626-6415
Mailing Address - Fax:518-626-6564
Practice Address - Street 1:113 HOLLAND AVE
Practice Address - Street 2:#111D
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12208-3410
Practice Address - Country:US
Practice Address - Phone:518-626-6415
Practice Address - Fax:518-626-6564
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2007-10-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
RIMD10693207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI7057122Medicaid
RI7057122Medicaid