Provider Demographics
NPI:1942276530
Name:HU, ANDY KUO-CHEN (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDY
Middle Name:KUO-CHEN
Last Name:HU
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:839 58TH STREET
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220-3679
Mailing Address - Country:US
Mailing Address - Phone:718-686-6889
Mailing Address - Fax:718-686-6877
Practice Address - Street 1:839 58TH ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-3679
Practice Address - Country:US
Practice Address - Phone:718-686-6889
Practice Address - Fax:718-686-6877
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-24
Last Update Date:2012-01-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY237043207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02716549Medicaid