Provider Demographics
NPI:1851549521
Name:HSI-LIN SPENCER FENG DDS,PC
Entity Type:Organization
Organization Name:HSI-LIN SPENCER FENG DDS,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HSI-LIN
Authorized Official - Middle Name:SPENCER
Authorized Official - Last Name:FENG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:718-358-3858
Mailing Address - Street 1:136-63 41ST AVE
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-2466
Mailing Address - Country:US
Mailing Address - Phone:718-358-3858
Mailing Address - Fax:718-358-4375
Practice Address - Street 1:13663 41ST AVE
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-2466
Practice Address - Country:US
Practice Address - Phone:718-358-3858
Practice Address - Fax:718-358-4375
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-05
Last Update Date:2008-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY051601-11223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty