Provider Demographics
NPI:1306259221
Name:DERMATOLOGY AND PATCH TESTING-QUEENS
Entity type:Organization
Organization Name:DERMATOLOGY AND PATCH TESTING-QUEENS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:L
Authorized Official - Last Name:HUANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:7188-866-7546
Mailing Address - Street 1:136-20 38TH AVENUE
Mailing Address - Street 2:SUITE 7I-A
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-4232
Mailing Address - Country:US
Mailing Address - Phone:718-886-7546
Mailing Address - Fax:718-886-7586
Practice Address - Street 1:136-20 38TH AVENUE
Practice Address - Street 2:SUITE 7I-A
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-4232
Practice Address - Country:US
Practice Address - Phone:718-886-7546
Practice Address - Fax:718-886-7586
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-09
Last Update Date:2014-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY224831207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty