Provider Demographics
NPI:1063591832
Name:HSUIH, CHUN HUNG (MD)
Entity type:Individual
Prefix:DR
First Name:CHUN HUNG
Middle Name:
Last Name:HSUIH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:TERENCE
Other - Middle Name:
Other - Last Name:HSUIH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:775 57TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220-3505
Mailing Address - Country:US
Mailing Address - Phone:718-439-6163
Mailing Address - Fax:718-439-6815
Practice Address - Street 1:775 57TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-3505
Practice Address - Country:US
Practice Address - Phone:718-439-6163
Practice Address - Fax:718-439-6815
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2013-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY205969207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYG84441Medicare UPIN