Healthcare Provider Details

I. General information

NPI: 1821937111
Provider Name (Legal Business Name): RONELLE NICOLE OCAMPO HUANG FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/25/2026
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7633 ELIOT AVE
MIDDLE VILLAGE NY
11379-1339
US

IV. Provider business mailing address

7633 ELIOT AVE
MIDDLE VILLAGE NY
11379-1339
US

V. Phone/Fax

Practice location:
  • Phone: 917-435-8909
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number359320
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: