MEDICARE: HUA FAMILY MEDICINE PLLC

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	207Q00000X	Family Medicine Physician

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	:	1922512250
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HUA FAMILY MEDICINE PLLC

Provider Business Mailing Address
First Line	:	1540 72ND ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11228-2110
Country	:	US
Telephone Number	:	718-489-9118
Fax Number	:	718-232-1904

Provider Business Practice Location Address
First Line	:	6820 BAY PKWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11204-5524
Country	:	US
Telephone Number	:	718-489-9118
Fax Number	:	718-232-1904

Authorized Official
Title or Position	:	MD
Name	:	DR. HAIYIN HUA
Credential	:	MD
Telephone Number	:	516-906-0998

Provider Enumeration Date	:	11/22/2017
Last Update Date	:	03/14/2025

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