Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 308729-01 | NY |
Y | 208600000X | Surgeon | 308729-01 | NY |
N | 2082S0105X | Plastic Hand Surgeon | 308729-01 | NY |
NPI | 1801561204 |
---|---|
Provider Name | Dr. Ke Nan Huang |
First Address | New York, NY 10016-9483 |
Second Address | New York, NY 10016-6402 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2021 |
Last Update Date | 09/08/2021 |