Provider Demographics
NPI:1033986740
Name:HUANG, MIAOMIAO
Entity Type:Individual
Prefix:
First Name:MIAOMIAO
Middle Name:
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:N2305/241 HARBOUR ESPLANADE
Mailing Address - Street 2:
Mailing Address - City:DOCKLANDS
Mailing Address - State:VICTORIA
Mailing Address - Zip Code:300821
Mailing Address - Country:AU
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:N2305/241 HARBOUR ESPLANADE
Practice Address - Street 2:
Practice Address - City:DOCKLANDS
Practice Address - State:VICTORIA
Practice Address - Zip Code:300821
Practice Address - Country:AU
Practice Address - Phone:040-560-3518
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-04
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY096540104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker