Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 145770 | NY |
NPI | 1033184585 |
---|---|
Provider Name | Mr. Christopher Jon Huyck |
First Address | Troy, NY 12180-1701 |
Second Address | Troy, NY 12180-1701 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/02/2006 |
Last Update Date | 16/01/2015 |