Healthcare Provider Details

I. General information

NPI: 1629671888
Provider Name (Legal Business Name): ANGELA HUANG PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/19/2020
Last Update Date: 11/19/2020
Certification Date: 11/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 6TH AVE
NEW YORK NY
10010-2716
US

IV. Provider business mailing address

750 6TH AVE
NEW YORK NY
10010-2716
US

V. Phone/Fax

Practice location:
  • Phone: 646-336-8388
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number064592
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: