Provider Demographics
NPI:1154584910
Name:ADVANTAGE MEDICAL HEALTH CARE, PLLC
Entity type:Organization
Organization Name:ADVANTAGE MEDICAL HEALTH CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:X
Authorized Official - Last Name:HUANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-939-1200
Mailing Address - Street 1:13620 38TH AVE
Mailing Address - Street 2:UNIT 5F
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-4233
Mailing Address - Country:US
Mailing Address - Phone:718-939-1200
Mailing Address - Fax:718-939-6200
Practice Address - Street 1:13620 38TH AVE
Practice Address - Street 2:UNIT 5F
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-4233
Practice Address - Country:US
Practice Address - Phone:718-939-1200
Practice Address - Fax:718-939-6200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-02
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02173504-05Medicaid
OKH45536Medicare UPIN