Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 300490 | NY |
NPI | 1063863066 |
---|---|
Provider Name | Hoang-Long Cao Huynh |
First Address | New York, NY 10032-3725 |
Second Address | New York, NY 10032-3722 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2016 |
Last Update Date | 16/06/2021 |