MEDICARE: DONGMEI HUANG

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	172V00000X	Community Health Worker	160620010323	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	:	1730613043
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONGMEI HUANG

Provider Business Mailing Address
First Line	:	6202 16TH AVE
Second Line	:	GROUND FL
City	:	BROOKLYN
State	:	NY
Zip	:	11204-2701
Country	:	US
Telephone Number	:	347-556-0399
Fax Number	:

Provider Business Practice Location Address
First Line	:	6202 16TH AVE
Second Line	:	GROUND FL
City	:	BROOKLYN
State	:	NY
Zip	:	11204-2701
Country	:	US
Telephone Number	:	347-556-0399
Fax Number	:

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

Provider Enumeration Date	:	04/13/2017
Last Update Date	:	04/13/2017

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Directions to “ DONGMEI HUANG ” Practice Location

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