Provider Demographics
NPI:1316161748
Name:HUANG, TSER FU
Entity type:Individual
Prefix:
First Name:TSER FU
Middle Name:
Last Name:HUANG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13-17 ELIZABETH STREET,
Mailing Address - Street 2:#608
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-4803
Mailing Address - Country:US
Mailing Address - Phone:212-219-8031
Mailing Address - Fax:212-219-3903
Practice Address - Street 1:17 ELIZABETH STREET
Practice Address - Street 2:#608
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-4803
Practice Address - Country:US
Practice Address - Phone:212-219-8031
Practice Address - Fax:212-219-3903
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2009-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY119146-1207LP3000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP3000XAllopathic & Osteopathic PhysiciansAnesthesiologyPediatric Anesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY8T1352Medicare PIN