Healthcare Provider Details

I. General information

NPI: 1528264397
Provider Name (Legal Business Name): SHAO FEN SHERRY HUANG M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2007
Last Update Date: 04/26/2021
Certification Date: 04/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

156 WILLIAM ST FL 7
NEW YORK NY
10038-5327
US

IV. Provider business mailing address

156 WILLIAM ST FL 7
NEW YORK NY
10038-5327
US

V. Phone/Fax

Practice location:
  • Phone: 646-962-7600
  • Fax: 646-962-0056
Mailing address:
  • Phone: 646-962-7600
  • Fax: 646-962-0056

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number239896
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: