MEDICARE: PAULINE HUANG O.D.

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	152W00000X	Optometrist	TUV006835	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669537064
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAULINE HUANG O.D.

Provider Business Mailing Address
First Line	:	99 ELIZABETH ST FL 2
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10013-4729
Country	:	US
Telephone Number	:	212-227-8837
Fax Number	:	212-227-4651

Provider Business Practice Location Address
First Line	:	99 ELIZABETH ST FL 2
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10013-4729
Country	:	US
Telephone Number	:	212-226-8837
Fax Number	:	212-227-4651

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

Provider Enumeration Date	:	12/26/2006
Last Update Date	:	02/12/2019

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Directions to “ PAULINE HUANG O.D.” Practice Location

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