Provider Demographics
NPI:1760628259
Name:HUEY, FLORENCE LEILA (FNP)
Entity Type:Individual
Prefix:MS
First Name:FLORENCE
Middle Name:LEILA
Last Name:HUEY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:296 SHERMAN AVE
Mailing Address - Street 2:FL1
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07307-1933
Mailing Address - Country:US
Mailing Address - Phone:201-424-6458
Mailing Address - Fax:
Practice Address - Street 1:460 W 41ST ST
Practice Address - Street 2:COVENANT HOUSE NEW YORK
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036-6801
Practice Address - Country:US
Practice Address - Phone:212-613-0300
Practice Address - Fax:212-268-2832
Is Sole Proprietor?:No
Enumeration Date:2009-01-05
Last Update Date:2009-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF334856-1363LF0000X
NJ27NJ00132800363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily