Healthcare Provider Details

I. General information

NPI: 1285291948
Provider Name (Legal Business Name): YI-CHI HUANG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2019
Last Update Date: 10/16/2023
Certification Date: 10/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4624 BROADWAY
NEW YORK NY
10040-2102
US

IV. Provider business mailing address

14 WASHINGTON PL APT 5H
NEW YORK NY
10003-6662
US

V. Phone/Fax

Practice location:
  • Phone: 206-419-3100
  • Fax:
Mailing address:
  • Phone: 206-419-3100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number116555
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: