Healthcare Provider Details

I. General information

NPI: 1538490453
Provider Name (Legal Business Name): YIQUN HUI MD, PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/15/2010
Last Update Date: 12/18/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13633 37TH AVE UNIT 3D1
FLUSHING NY
11354-4110
US

IV. Provider business mailing address

13633 37TH AVE UNIT 3D1
FLUSHING NY
11354-4110
US

V. Phone/Fax

Practice location:
  • Phone: 718-888-9268
  • Fax: 718-374-6582
Mailing address:
  • Phone: 718-888-9268
  • Fax: 718-374-6582

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License Number261914-1
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207RA0201X
TaxonomyAllergy & Immunology (Internal Medicine) Physician
License Number261914
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: