Provider Demographics
NPI:1295409555
Name:HUI, RANAN N (DPT)
Entity Type:Individual
Prefix:DR
First Name:RANAN
Middle Name:N
Last Name:HUI
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 BAY CLUB DR APT 1W
Mailing Address - Street 2:
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11360-2918
Mailing Address - Country:US
Mailing Address - Phone:917-328-2851
Mailing Address - Fax:
Practice Address - Street 1:2 BAY CLUB DR APT 1W
Practice Address - Street 2:
Practice Address - City:BAYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11360-2918
Practice Address - Country:US
Practice Address - Phone:917-328-2851
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-02
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY047218-01225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist