MEDICARE: HUY HUYNH PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QU0200X	Urgent Care Clinic/Center	024431	NY

General Provider Information

NPI Number	:	1508498916
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HUY HUYNH PA-C

Provider Business Mailing Address
First Line	:	366 KNICKERBOCKER AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11237-8055
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	366 KNICKERBOCKER AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11237-8055
Country	:	US
Telephone Number	:	646-604-8160
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/04/2020
Last Update Date	:	10/24/2025

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