Basic Information
| Provider Information | |||||||||
| NPI: | 1679114029 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HUANG | ||||||||
| FirstName: | CHENGMEI | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3815 149TH ST APT 3A | ||||||||
| Address2: | |||||||||
| City: | FLUSHING | ||||||||
| State: | NY | ||||||||
| PostalCode: | 113546302 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6462204265 | ||||||||
| FaxNumber: | 9293483207 | ||||||||
| Practice Location | |||||||||
| Address1: | 1500 WATERS PL | ||||||||
| Address2: | |||||||||
| City: | BRONX | ||||||||
| State: | NY | ||||||||
| PostalCode: | 104612723 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7189310600 | ||||||||
| FaxNumber: | 9293483207 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/07/2019 | ||||||||
| LastUpdateDate: | 10/07/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | 568544 | NY | Y | Nursing Service Providers | Registered Nurse |
No ID Information.