Provider Demographics
NPI:1578987723
Name:HUANG, SOFIE S (DDS)
Entity Type:Individual
Prefix:DR
First Name:SOFIE
Middle Name:S
Last Name:HUANG
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:145 E 29TH ST
Mailing Address - Street 2:APT 5D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-8169
Mailing Address - Country:US
Mailing Address - Phone:646-725-2003
Mailing Address - Fax:718-921-1198
Practice Address - Street 1:6402 8TH AVE
Practice Address - Street 2:SUITE 304
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-4720
Practice Address - Country:US
Practice Address - Phone:718-921-1188
Practice Address - Fax:718-921-1198
Is Sole Proprietor?:No
Enumeration Date:2014-02-08
Last Update Date:2015-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY057940122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist