Provider Demographics
NPI:1942214630
Name:HU, QI (MEDICAL DIPLOMA)
Entity Type:Individual
Prefix:DR
First Name:QI
Middle Name:
Last Name:HU
Suffix:
Gender:M
Credentials:MEDICAL DIPLOMA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:156 E OLD COUNTRY RD
Mailing Address - Street 2:
Mailing Address - City:HICKSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11801-4221
Mailing Address - Country:US
Mailing Address - Phone:212-267-3653
Mailing Address - Fax:516-390-4403
Practice Address - Street 1:156 E OLD COUNTRY RD
Practice Address - Street 2:
Practice Address - City:HICKSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11801-4221
Practice Address - Country:US
Practice Address - Phone:212-267-3653
Practice Address - Fax:516-390-4403
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1985012084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY344131Medicare ID - Type Unspecified