Healthcare Provider Details

I. General information

NPI: 1700041902
Provider Name (Legal Business Name): RENEE HUANG M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2008
Last Update Date: 07/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

47 NEW SCOTLAND AVE DEPARTMENT OF GENERAL SURGERY/MC-61
ALBANY NY
12208-3412
US

IV. Provider business mailing address

47 NEW SCOTLAND AVENUE DEPARTMENT OF GENERAL SURGERY
ALBANY NY
12208
US

V. Phone/Fax

Practice location:
  • Phone: 518-262-3125
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number62611
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: