Provider Demographics
NPI:1518162585
Name:HUANG, LUCY YAN XIONG (PT)
Entity Type:Individual
Prefix:MS
First Name:LUCY
Middle Name:YAN XIONG
Last Name:HUANG
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:142-18 38TH AVE
Mailing Address - Street 2:2B
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-5551
Mailing Address - Country:US
Mailing Address - Phone:718-461-9646
Mailing Address - Fax:718-461-9646
Practice Address - Street 1:258 W 91ST STREET
Practice Address - Street 2:SUITE 1
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-1108
Practice Address - Country:US
Practice Address - Phone:212-875-8345
Practice Address - Fax:212-875-0143
Is Sole Proprietor?:No
Enumeration Date:2007-06-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY021121225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY174700OtherELDERPLAN
NYQ00Q101Medicare ID - Type Unspecified