Provider Demographics
NPI:1275189771
Name:HUANG, DARREN
Entity Type:Individual
Prefix:DR
First Name:DARREN
Middle Name:
Last Name:HUANG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42-31 COLDEN ST., SUITE#103
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-3981
Mailing Address - Country:US
Mailing Address - Phone:718-461-4435
Mailing Address - Fax:718-461-5607
Practice Address - Street 1:42-31 COLDEN ST., SUITE#103
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-3981
Practice Address - Country:US
Practice Address - Phone:718-461-4435
Practice Address - Fax:718-461-5607
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-12
Last Update Date:2019-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0605711223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty