Provider Demographics
NPI:1770567406
Name:HU, KENNETH S (MD)
Entity type:Individual
Prefix:
First Name:KENNETH
Middle Name:S
Last Name:HU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:160 E 34TH ST
Mailing Address - Street 2:DEPT. OF RADIATION ONCOLOGY
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-4744
Mailing Address - Country:US
Mailing Address - Phone:212-731-6033
Mailing Address - Fax:212-731-5513
Practice Address - Street 1:160 E 34TH ST
Practice Address - Street 2:DEPT. OF RADIATION ONCOLOGY
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-4744
Practice Address - Country:US
Practice Address - Phone:212-731-6033
Practice Address - Fax:212-731-5513
Is Sole Proprietor?:No
Enumeration Date:2005-12-06
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2018372085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01978110Medicaid
NY10U86ER881Medicare PIN
NYH03889Medicare UPIN
NY10U8612661Medicare PIN