Provider Demographics
NPI:1528046067
Name:LAI, HUIKANG (MD,)
Entity Type:Individual
Prefix:
First Name:HUIKANG
Middle Name:
Last Name:LAI
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 1:57 BRISTOL DR
Mailing Address - Street 2:
Mailing Address - City:MANHASSET
Mailing Address - State:NY
Mailing Address - Zip Code:11030-3944
Mailing Address - Country:US
Mailing Address - Phone:718-539-8868
Mailing Address - Fax:718-353-2783
Practice Address - Street 1:4125 KISSENA BLVD
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-3150
Practice Address - Country:US
Practice Address - Phone:718-539-8868
Practice Address - Fax:718-353-2783
Is Sole Proprietor?:No
Enumeration Date:2006-01-05
Last Update Date:2008-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY226453208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02358092Medicaid
NY0232J1Medicare PIN
NYH74724Medicare UPIN
NY02358092Medicaid