Healthcare Provider Details

I. General information

NPI: 1306151899
Provider Name (Legal Business Name): XIAO JUN HUANG PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: HELEN HUANG PHARM D

II. Dates (important events)

Enumeration Date: 08/10/2010
Last Update Date: 09/02/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29 WEST 116TH ST
NEW YORK NY
10026
US

IV. Provider business mailing address

29 WEST 116 STREET
NEW YORK NY
10026
US

V. Phone/Fax

Practice location:
  • Phone: 212-519-8346
  • Fax: 212-519-8348
Mailing address:
  • Phone: 212-519-8346
  • Fax: 212-519-8348

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number054953
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: