Healthcare Provider Details

I. General information

NPI: 1073075958
Provider Name (Legal Business Name): DAVID WILLIAM HUANG DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2019
Last Update Date: 08/04/2025
Certification Date: 08/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 E 64TH ST FL 4
NEW YORK NY
10065-7471
US

IV. Provider business mailing address

210 E 64TH ST FL 4
NEW YORK NY
10065-7471
US

V. Phone/Fax

Practice location:
  • Phone: 212-434-4460
  • Fax:
Mailing address:
  • Phone: 212-434-4460
  • Fax: 212-434-4489

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number317413
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: