Healthcare Provider Details

I. General information

NPI: 1457377186
Provider Name (Legal Business Name): CHING-HUANG HUANG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 MAPLE AVE
WARWICK NY
10990-1028
US

IV. Provider business mailing address

60 OLD RIDGE RD
WARWICK NY
10990-2619
US

V. Phone/Fax

Practice location:
  • Phone: 845-986-2224
  • Fax: 845-988-0543
Mailing address:
  • Phone: 845-986-2224
  • Fax: 845-988-0543

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number164972-1
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number164972-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: