Provider Demographics
NPI:1467534610
Name:CHIANG, KUAI-HUA (DPT)
Entity Type:Individual
Prefix:DR
First Name:KUAI-HUA
Middle Name:
Last Name:CHIANG
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 1:210-08 NORTHERN BLVD
Mailing Address - Street 2:STE 1
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11361-3050
Mailing Address - Country:US
Mailing Address - Phone:347-408-4911
Mailing Address - Fax:
Practice Address - Street 1:21008 NORTHERN BLVD
Practice Address - Street 2:STE #1
Practice Address - City:BAYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11361-3211
Practice Address - Country:US
Practice Address - Phone:347-408-4911
Practice Address - Fax:347-836-8098
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2021-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022858225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY201017900033OtherAFFINITY
CA1006250206OtherAFFINITY HEALTH PLAN
NY03320192OtherMEDICAID
NY7794772OtherAETNA
NY133668362OtherEVECARE/UHC
NYSEIU136172Other1199 SEIU
NY03320192Medicaid
NY9461166OtherPHCS
NY836132OtherTHE EMPIRE PLAN
NYQ96N32OtherEMPIRE BLUE CROSS BLUE SHIELD
CA1006250206OtherAFFINITY HEALTH PLAN