Provider Demographics
NPI:1306151899
Name:HUANG, XIAO JUN (PHARM D)
Entity type:Individual
Prefix:DR
First Name:XIAO JUN
Middle Name:
Last Name:HUANG
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:HELEN
Other - Middle Name:
Other - Last Name:HUANG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARM D
Mailing Address - Street 1:29 WEST 116 STREET
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10026
Mailing Address - Country:US
Mailing Address - Phone:212-519-8346
Mailing Address - Fax:212-519-8348
Practice Address - Street 1:29 WEST 116TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10026
Practice Address - Country:US
Practice Address - Phone:212-519-8346
Practice Address - Fax:212-519-8348
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-10
Last Update Date:2016-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY054953183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist