Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 36016 | NY |
NPI | 1003585365 |
---|---|
Provider Name | Weixi Huang |
First Address | Brooklyn, NY 11223-2527 |
Second Address | New York, NY 10012-4051 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/09/2021 |
Last Update Date | 09/09/2021 |