Healthcare Provider Details

I. General information

NPI: 1245823442
Provider Name (Legal Business Name): TARRING TING-YUN HUANG NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CLARE HUANG

II. Dates (important events)

Enumeration Date: 02/18/2021
Last Update Date: 08/17/2021
Certification Date: 08/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1275 YORK AVE
NEW YORK NY
10065-6007
US

IV. Provider business mailing address

104 FORSYTH ST APT 9
NEW YORK NY
10002-5169
US

V. Phone/Fax

Practice location:
  • Phone: 212-639-2000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number767340
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number432070
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: