Healthcare Provider Details

I. General information

NPI: 1891991816
Provider Name (Legal Business Name): ADA J. HUANG M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 HUGUENOT ST FL 8
NEW ROCHELLE NY
10801-5233
US

IV. Provider business mailing address

145 HUGUENOT ST FL 8
NEW ROCHELLE NY
10801-5233
US

V. Phone/Fax

Practice location:
  • Phone: 914-813-5180
  • Fax: 914-813-5182
Mailing address:
  • Phone: 914-819-8471
  • Fax: 914-813-5182

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number151608
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: