Provider Demographics
NPI:1740282300
Name:HUI, ANITA ONG (MD)
Entity type:Individual
Prefix:DR
First Name:ANITA
Middle Name:ONG
Last Name:HUI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 MOTT ST
Mailing Address - Street 2:STE 603
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-5540
Mailing Address - Country:US
Mailing Address - Phone:212-732-2638
Mailing Address - Fax:212-732-1029
Practice Address - Street 1:128 MOTT ST
Practice Address - Street 2:STE 603
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-5540
Practice Address - Country:US
Practice Address - Phone:212-732-2638
Practice Address - Fax:212-732-1029
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-12
Last Update Date:2010-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY165072208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
F27943Medicare UPIN