Healthcare Provider Details

I. General information

NPI: 1982450169
Provider Name (Legal Business Name): XIAOTING HUANG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/29/2024
Last Update Date: 04/29/2024
Certification Date: 04/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

373 SPRUCE LN
EAST MEADOW NY
11554-2712
US

IV. Provider business mailing address

373 SPRUCE LN
EAST MEADOW NY
11554-2712
US

V. Phone/Fax

Practice location:
  • Phone: 646-467-1695
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: