Provider Demographics
NPI:1043451206
Name:ANDERSON T. HUANG, D.D.S.,P,C,
Entity Type:Organization
Organization Name:ANDERSON T. HUANG, D.D.S.,P,C,
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TSUNG-TE
Authorized Official - Middle Name:ANDERSON
Authorized Official - Last Name:HUANG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:718-461-4435
Mailing Address - Street 1:4231 COLDEN ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-3977
Mailing Address - Country:US
Mailing Address - Phone:718-461-4435
Mailing Address - Fax:718-461-5607
Practice Address - Street 1:4231 COLDEN ST
Practice Address - Street 2:SUITE 103
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-3977
Practice Address - Country:US
Practice Address - Phone:718-461-4435
Practice Address - Fax:718-461-5607
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-18
Last Update Date:2009-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY042974-11223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty