Provider Demographics
NPI:1942704184
Name:HSIN, HUNG HUAN (NP)
Entity Type:Individual
Prefix:
First Name:HUNG
Middle Name:HUAN
Last Name:HSIN
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15908 16TH AVE
Mailing Address - Street 2:
Mailing Address - City:WHITESTONE
Mailing Address - State:NY
Mailing Address - Zip Code:11357-3222
Mailing Address - Country:US
Mailing Address - Phone:917-681-5971
Mailing Address - Fax:718-357-3082
Practice Address - Street 1:15908 16TH AVE
Practice Address - Street 2:
Practice Address - City:WHITESTONE
Practice Address - State:NY
Practice Address - Zip Code:11357-3222
Practice Address - Country:US
Practice Address - Phone:917-681-5971
Practice Address - Fax:718-957-3082
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-21
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF431144-1363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care