Provider Demographics
NPI:1295957686
Name:HSU, HSUN-CHUN (DDS)
Entity type:Individual
Prefix:DR
First Name:HSUN-CHUN
Middle Name:
Last Name:HSU
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14205 ROOSEVELT AVE
Mailing Address - Street 2:APT#407
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-6045
Mailing Address - Country:US
Mailing Address - Phone:718-463-5287
Mailing Address - Fax:
Practice Address - Street 1:13336 41ST RD
Practice Address - Street 2:#1G
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-3666
Practice Address - Country:US
Practice Address - Phone:718-321-8886
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY051546122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist