Provider Demographics
NPI:1023186194
Name:HUANG, MARY YAJEN (DNP)
Entity Type:Individual
Prefix:MS
First Name:MARY
Middle Name:YAJEN
Last Name:HUANG
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Gender:F
Credentials:DNP
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Mailing Address - Street 1:410 LAKEVILLE RD SUITE 105
Mailing Address - Street 2:NS-LIJ COHEN CHILDREN'S MEDICAL CENTER OF NY
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11042
Mailing Address - Country:US
Mailing Address - Phone:516-465-5255
Mailing Address - Fax:718-347-2240
Practice Address - Street 1:410 LAKEVILLE RD SUITE 105
Practice Address - Street 2:NS-LIJ COHEN CHILDREN'S MEDICAL CENTER OF NY
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11042
Practice Address - Country:US
Practice Address - Phone:516-465-5255
Practice Address - Fax:718-347-2240
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2015-09-30
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Provider Licenses
StateLicense IDTaxonomies
NYF381218-1363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics