Healthcare Provider Details

I. General information

NPI: 1992557920
Provider Name (Legal Business Name): JINGJING HUANG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2024
Last Update Date: 04/03/2024
Certification Date: 04/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3825 PARSONS BLVD APT 4H
FLUSHING NY
11354-5838
US

IV. Provider business mailing address

3825 PARSONS BLVD APT 4H
FLUSHING NY
11354-5838
US

V. Phone/Fax

Practice location:
  • Phone: 516-637-8688
  • Fax:
Mailing address:
  • Phone: 516-637-8688
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number071388
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: