Provider Demographics
NPI:1619951175
Name:HUEY, HOWARD E (DO)
Entity Type:Individual
Prefix:
First Name:HOWARD
Middle Name:E
Last Name:HUEY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:180 PARK ROW
Mailing Address - Street 2:WEST LOBBY SUITE
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038-1127
Mailing Address - Country:US
Mailing Address - Phone:212-267-2481
Mailing Address - Fax:212-267-2490
Practice Address - Street 1:180 PARK ROW
Practice Address - Street 2:WEST LOBBY SUITE
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-1127
Practice Address - Country:US
Practice Address - Phone:212-267-2481
Practice Address - Fax:212-267-2490
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-30
Last Update Date:2013-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY164748207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01395766Medicaid
00L8210Medicare ID - Type Unspecified
NY01395766Medicaid