Provider Demographics
NPI:1477512481
Name:LONG, MINHUI (MD)
Entity Type:Individual
Prefix:
First Name:MINHUI
Middle Name:
Last Name:LONG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:761 55TH ST FL 1
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220-3210
Mailing Address - Country:US
Mailing Address - Phone:718-436-3497
Mailing Address - Fax:718-436-3499
Practice Address - Street 1:761 55TH ST FL 1
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-3210
Practice Address - Country:US
Practice Address - Phone:718-436-3497
Practice Address - Fax:718-436-3499
Is Sole Proprietor?:No
Enumeration Date:2006-03-20
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY228353208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYI01462Medicare UPIN