MEDICARE: DR. STEPHEN L HUANG M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0000X	Hematology (Internal Medicine) Physician	109898	NY

General Provider Information

NPI Number	:	1942396684
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHEN L HUANG M.D.

Provider Business Mailing Address
First Line	:	4355 FURMAN AVENUE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10466-1601
Country	:	US
Telephone Number	:	718-324-2292
Fax Number	:	718-325-5094

Provider Business Practice Location Address
First Line	:	4355 FURMAN AVENUE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10466-1601
Country	:	US
Telephone Number	:	718-324-2292
Fax Number	:	718-325-5094

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	07/08/2007

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