Healthcare Provider Details

I. General information

NPI: 1740884071
Provider Name (Legal Business Name): NANCY HUANG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/27/2020
Last Update Date: 11/27/2020
Certification Date: 11/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 SAINT JAMES PL APT 8I
NEW YORK NY
10038-1227
US

IV. Provider business mailing address

7 SAINT JAMES PL APT 8I
NEW YORK NY
10038-1227
US

V. Phone/Fax

Practice location:
  • Phone: 917-345-0672
  • Fax:
Mailing address:
  • Phone: 917-345-0672
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number803644
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: