Provider Demographics
NPI:1992920235
Name:HUA, JOSEPHINE LAW (RPAC)
Entity type:Individual
Prefix:MRS
First Name:JOSEPHINE
Middle Name:LAW
Last Name:HUA
Suffix:
Gender:F
Credentials:RPAC
Other - Prefix:MS
Other - First Name:JOSEPHINE
Other - Middle Name:
Other - Last Name:LAW
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPAC
Mailing Address - Street 1:20 CONFUCIUS PLZ APT 22L
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-6723
Mailing Address - Country:US
Mailing Address - Phone:917-750-1770
Mailing Address - Fax:212-914-9022
Practice Address - Street 1:110 LAFAYETTE ST RM 601
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-4116
Practice Address - Country:US
Practice Address - Phone:212-941-9020
Practice Address - Fax:212-941-9022
Is Sole Proprietor?:No
Enumeration Date:2007-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007461363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant