Healthcare Provider Details

I. General information

NPI: 1467886630
Provider Name (Legal Business Name): DR. AMY T HUA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2013
Last Update Date: 09/12/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99 BUSINESS PARK DR
ARMONK NY
10504
US

IV. Provider business mailing address

41 E POST RD
WHITE PLAINS NY
10601-4607
US

V. Phone/Fax

Practice location:
  • Phone: 914-849-7900
  • Fax: 914-849-7995
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number289188
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: