Healthcare Provider Details

I. General information

NPI: 1003589771
Provider Name (Legal Business Name): HORNG-MIAN HUANG PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2021
Last Update Date: 07/28/2021
Certification Date: 07/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

858 DEKALB AVE
BROOKLYN NY
11221-1402
US

IV. Provider business mailing address

858 DEKALB AVE
BROOKLYN NY
11221-1402
US

V. Phone/Fax

Practice location:
  • Phone: 646-517-0370
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number060828
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: