Healthcare Provider Details

I. General information

NPI: 1750594784
Provider Name (Legal Business Name): MULI HUANG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5624R 7AVE
BROOKLYN NY
11220
US

IV. Provider business mailing address

1423 84TH ST
BROOKLYN NY
11228-3111
US

V. Phone/Fax

Practice location:
  • Phone: 718-437-3227
  • Fax:
Mailing address:
  • Phone: 718-256-8121
  • Fax: 718-256-8121

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number001017
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: