Provider Demographics
NPI:1902267453
Name:HSIA, ANDREW H (MS, AGACNP, APRN, RN)
Entity Type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:H
Last Name:HSIA
Suffix:
Gender:M
Credentials:MS, AGACNP, APRN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8317 34TH AVE
Mailing Address - Street 2:APT. 1C
Mailing Address - City:JACKSON HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11372-3140
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8317 34TH AVE
Practice Address - Street 2:APT. 1C
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-3140
Practice Address - Country:US
Practice Address - Phone:216-212-7242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-11
Last Update Date:2017-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY707761163W00000X
NY431099363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163W00000XNursing Service ProvidersRegistered Nurse