Provider Demographics
NPI:1356586630
Name:WEN-RAY THOMAS HSU, MD, PC
Entity type:Organization
Organization Name:WEN-RAY THOMAS HSU, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:WEN-RAY
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:HSU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-472-3541
Mailing Address - Street 1:18 ANDREA LN
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-3108
Mailing Address - Country:US
Mailing Address - Phone:914-472-3541
Mailing Address - Fax:914-472-3541
Practice Address - Street 1:301 E 21ST ST
Practice Address - Street 2:SUITE 1A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-6543
Practice Address - Country:US
Practice Address - Phone:212-477-4907
Practice Address - Fax:212-477-4944
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-15
Last Update Date:2008-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY243841207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAI 65363Medicare UPIN