Healthcare Provider Details

I. General information

NPI: 1992718621
Provider Name (Legal Business Name): CHIHEE CHRISTINE HUH D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 01/12/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8318 4TH AVE
BROOKLYN NY
11209-4413
US

IV. Provider business mailing address

8318 4TH AVE
BROOKLYN NY
11209-4413
US

V. Phone/Fax

Practice location:
  • Phone: 718-759-0400
  • Fax:
Mailing address:
  • Phone: 718-759-0400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number214833
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: