Provider Demographics
NPI:1093386724
Name:HUYNH MEDICAL, PLLC
Entity Type:Organization
Organization Name:HUYNH MEDICAL, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:HUYNH
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:718-540-5288
Mailing Address - Street 1:1 MAGNOLIA DR
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-1920
Mailing Address - Country:US
Mailing Address - Phone:718-570-7567
Mailing Address - Fax:
Practice Address - Street 1:13915 34TH AVE BSMT OFFICE
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-3275
Practice Address - Country:US
Practice Address - Phone:718-570-7567
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-03
Last Update Date:2021-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation