Provider Demographics
NPI:1225227630
Name:REN, HUI (PA)
Entity Type:Individual
Prefix:
First Name:HUI
Middle Name:
Last Name:REN
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13252 41ST AVE # M1
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-5845
Mailing Address - Country:US
Mailing Address - Phone:718-321-3262
Mailing Address - Fax:718-321-3263
Practice Address - Street 1:13252 41ST AVE # M1
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-5845
Practice Address - Country:US
Practice Address - Phone:718-321-3262
Practice Address - Fax:718-321-3263
Is Sole Proprietor?:No
Enumeration Date:2007-10-22
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY011614363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical