Provider Demographics
NPI:1346518883
Name:HSU, SHARON CHIA (LAC)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:CHIA
Last Name:HSU
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 MAPLE LN
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-1937
Mailing Address - Country:US
Mailing Address - Phone:516-425-2088
Mailing Address - Fax:
Practice Address - Street 1:35 MAPLE LN
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11040-1937
Practice Address - Country:US
Practice Address - Phone:516-425-2088
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-13
Last Update Date:2014-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY4539171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist