Basic Information
Provider Information
NPI: 1467886630
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HUA
FirstName: AMY
MiddleName: T
NamePrefix: DR.
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 41 E POST RD
Address2:  
City: WHITE PLAINS
State: NY
PostalCode: 106014607
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 99 BUSINESS PARK DR
Address2:  
City: ARMONK
State: NY
PostalCode: 10504
CountryCode: US
TelephoneNumber: 9148497900
FaxNumber: 9148497995
Other Information
ProviderEnumerationDate: 08/24/2013
LastUpdateDate: 09/12/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084N0400X289188NYY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology

No ID Information.


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