Provider Demographics
NPI:1831823046
Name:HU, KATIE HAO YING (DMD)
Entity type:Individual
Prefix:
First Name:KATIE
Middle Name:HAO YING
Last Name:HU
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3450 WAYNE AVE APT 16L
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467-2515
Mailing Address - Country:US
Mailing Address - Phone:347-908-7063
Mailing Address - Fax:
Practice Address - Street 1:1625 POPLAR ST STE 225
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-2646
Practice Address - Country:US
Practice Address - Phone:718-405-8401
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-13
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program