Healthcare Provider Details

I. General information

NPI: 1265401806
Provider Name (Legal Business Name): ZHAOMING HUANG M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/16/2006
Last Update Date: 01/29/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39 E 20TH ST
NEW YORK NY
10003-1336
US

IV. Provider business mailing address

304 COMMUNITY DR 1E
MANHASSET NY
11030-3834
US

V. Phone/Fax

Practice location:
  • Phone: 212-473-9155
  • Fax: 212-777-6522
Mailing address:
  • Phone: 516-603-6635
  • Fax: 516-365-7216

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number227290
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: