Provider Demographics
NPI:1346628922
Name:HU, KAI (LMT, LACU)
Entity Type:Individual
Prefix:
First Name:KAI
Middle Name:
Last Name:HU
Suffix:
Gender:M
Credentials:LMT, LACU
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4028 58TH ST
Mailing Address - Street 2:
Mailing Address - City:WOODSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11377-4747
Mailing Address - Country:US
Mailing Address - Phone:347-357-4844
Mailing Address - Fax:646-304-8252
Practice Address - Street 1:4207 KISSENA BLVD
Practice Address - Street 2:FLOOR C
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-3275
Practice Address - Country:US
Practice Address - Phone:646-245-3909
Practice Address - Fax:646-304-8252
Is Sole Proprietor?:No
Enumeration Date:2015-05-14
Last Update Date:2015-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003564171100000X
NY019476225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist