Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 307148 | NY |
NPI | 1023541216 |
---|---|
Provider Name | Richard Huynh |
First Address | Great Neck, NY 11021-1920 |
Second Address | Flushing, NY 11354-3273 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2017 |
Last Update Date | 19/07/2021 |