Healthcare Provider Details

I. General information

NPI: 1578327946
Provider Name (Legal Business Name): HUITING HUANG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/07/2024
Last Update Date: 02/07/2024
Certification Date: 01/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

460 W 42ND ST PH 1M
NEW YORK NY
10036-8220
US

IV. Provider business mailing address

460 W 42ND ST PH 1M
NEW YORK NY
10036-8220
US

V. Phone/Fax

Practice location:
  • Phone: 646-238-2116
  • Fax:
Mailing address:
  • Phone: 646-238-2116
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: