Healthcare Provider Details

I. General information

NPI: 1033941638
Provider Name (Legal Business Name): HUZ ORTHODONTICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2024
Last Update Date: 08/14/2024
Certification Date: 08/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

502 ATLANTIC AVE
BROOKLYN NY
11217-1813
US

IV. Provider business mailing address

502 ATLANTIC AVE
BROOKLYN NY
11217-1813
US

V. Phone/Fax

Practice location:
  • Phone: 718-576-3084
  • Fax:
Mailing address:
  • Phone: 718-576-3084
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. KATERYNA HUZ
Title or Position: ORTHODONTIST
Credential: DDS
Phone: 646-637-7884