Provider Demographics
NPI:1992317994
Name:HUANG, CONNIE KA WING
Entity type:Individual
Prefix:
First Name:CONNIE
Middle Name:KA WING
Last Name:HUANG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 CONFUCIUS PLZ APT 11L
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-6735
Mailing Address - Country:US
Mailing Address - Phone:347-656-1017
Mailing Address - Fax:
Practice Address - Street 1:60 SPRING ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10012-4101
Practice Address - Country:US
Practice Address - Phone:212-925-5307
Practice Address - Fax:212-925-2847
Is Sole Proprietor?:No
Enumeration Date:2020-08-20
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY066851183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist