Provider Demographics
NPI:1215652144
Name:HSU, CHINGFANG FLORA
Entity type:Individual
Prefix:
First Name:CHINGFANG
Middle Name:FLORA
Last Name:HSU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 EAST CENTURY RD
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652
Mailing Address - Country:US
Mailing Address - Phone:201-233-5215
Mailing Address - Fax:
Practice Address - Street 1:VALLEY HOME CARE
Practice Address - Street 2:15 ESSEX ROAD
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-0765
Practice Address - Country:US
Practice Address - Phone:201-233-5215
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-04
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00601600225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist