Provider Demographics
NPI:1841346988
Name:HUANG, KEVIN SZU-WEI (RPT)
Entity type:Individual
Prefix:MR
First Name:KEVIN
Middle Name:SZU-WEI
Last Name:HUANG
Suffix:
Gender:M
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22205 GRAND CENTRAL PKWY
Mailing Address - Street 2:
Mailing Address - City:QUEENS VILLAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11427-1205
Mailing Address - Country:US
Mailing Address - Phone:718-217-7141
Mailing Address - Fax:718-217-7141
Practice Address - Street 1:22205 GRAND CENTRAL PKWY
Practice Address - Street 2:
Practice Address - City:QUEENS VILLAGE
Practice Address - State:NY
Practice Address - Zip Code:11427-1205
Practice Address - Country:US
Practice Address - Phone:917-679-0542
Practice Address - Fax:718-217-7141
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014821225100000X
NJ6845225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02837167Medicaid