Healthcare Provider Details

I. General information

NPI: 1659575264
Provider Name (Legal Business Name): DANTHANH HOANG M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/14/2007
Last Update Date: 04/10/2023
Certification Date: 04/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 E 68TH ST N-506
NEW YORK NY
10021-4870
US

IV. Provider business mailing address

506 6TH ST DEPT. OF PEDIATRICS
BROOKLYN NY
11215-3609
US

V. Phone/Fax

Practice location:
  • Phone: 212-746-3530
  • Fax: 212-746-8608
Mailing address:
  • Phone: 917-797-6659
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number233232
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code282NC2000X
TaxonomyChildren's Hospital
License Number233232
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: