Healthcare Provider Details

I. General information

NPI: 1134594641
Provider Name (Legal Business Name): DANIEL HUANG D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/09/2015
Last Update Date: 12/16/2022
Certification Date: 12/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

165 MADISON AVE SUITE 200
NEW YORK NY
10016
US

IV. Provider business mailing address

165 MADISON AVE 200
NEW YORK NY
10016
US

V. Phone/Fax

Practice location:
  • Phone: 646-397-7109
  • Fax: 646-843-7609
Mailing address:
  • Phone: 646-243-1220
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number012748
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: