Healthcare Provider Details

I. General information

NPI: 1780325217
Provider Name (Legal Business Name): SERENA HSIN HUANG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2022
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 RIVER RD STE 101
COS COB CT
06807-2759
US

IV. Provider business mailing address

35 RIVER RD STE 101
COS COB CT
06807-2759
US

V. Phone/Fax

Practice location:
  • Phone: 203-863-4570
  • Fax: 203-863-4580
Mailing address:
  • Phone: 203-863-4570
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number82399
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: