Healthcare Provider Details

I. General information

NPI: 1528041878
Provider Name (Legal Business Name): HOWARD H HUANG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/21/2005
Last Update Date: 10/11/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1571 WASHINGTON ST SUITE 201
WATERTOWN NY
13601-9304
US

IV. Provider business mailing address

1571 WASHINGTON ST SUITE 201
WATERTOWN NY
13601-9304
US

V. Phone/Fax

Practice location:
  • Phone: 315-782-1650
  • Fax: 315-788-8547
Mailing address:
  • Phone: 315-782-1650
  • Fax: 315-788-8547

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number222331
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: