Provider Demographics
NPI:1972824035
Name:HUNG, SUSAN LIEN (MD)
Entity type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:LIEN
Last Name:HUNG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SUSAN
Other - Middle Name:
Other - Last Name:LIEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:800 WESTCHESTER AVE
Mailing Address - Street 2:SUITE N511
Mailing Address - City:RYE BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:10573-1354
Mailing Address - Country:US
Mailing Address - Phone:914-428-5454
Mailing Address - Fax:914-253-6900
Practice Address - Street 1:800 WESTCHESTER AVE
Practice Address - Street 2:SUITE N511
Practice Address - City:RYE BROOK
Practice Address - State:NY
Practice Address - Zip Code:10573-1354
Practice Address - Country:US
Practice Address - Phone:914-428-5454
Practice Address - Fax:914-253-6900
Is Sole Proprietor?:No
Enumeration Date:2010-06-11
Last Update Date:2016-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY274911207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology