Provider Demographics
NPI:1174292544
Name:HUANG, PO-YU (DPT)
Entity Type:Individual
Prefix:
First Name:PO-YU
Middle Name:
Last Name:HUANG
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 RINGNECK LN
Mailing Address - Street 2:
Mailing Address - City:EAST SETAUKET
Mailing Address - State:NY
Mailing Address - Zip Code:11733-2645
Mailing Address - Country:US
Mailing Address - Phone:631-681-0851
Mailing Address - Fax:
Practice Address - Street 1:12 TECHNOLOGY DR UNIT 2
Practice Address - Street 2:
Practice Address - City:EAST SETAUKET
Practice Address - State:NY
Practice Address - Zip Code:11733-4049
Practice Address - Country:US
Practice Address - Phone:631-681-0851
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-09
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist