Provider Demographics
NPI:1437592839
Name:CWERN-HSU MEDICAL PC
Entity Type:Organization
Organization Name:CWERN-HSU MEDICAL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAWKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-751-9714
Mailing Address - Street 1:36 E 31ST ST RM 701
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-6821
Mailing Address - Country:US
Mailing Address - Phone:212-751-9714
Mailing Address - Fax:212-832-1821
Practice Address - Street 1:36 E 31ST ST RM 701
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6821
Practice Address - Country:US
Practice Address - Phone:212-751-9714
Practice Address - Fax:212-832-1821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-16
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty