Provider Demographics
NPI:1922177666
Name:HUEYCHUNG GHI, DDS PC
Entity Type:Organization
Organization Name:HUEYCHUNG GHI, DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HUEYCHUNG
Authorized Official - Middle Name:
Authorized Official - Last Name:GHI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:718-886-0900
Mailing Address - Street 1:13640 39TH AVE
Mailing Address - Street 2:SUITE 402
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-5536
Mailing Address - Country:US
Mailing Address - Phone:718-886-0900
Mailing Address - Fax:718-886-0999
Practice Address - Street 1:13640 39TH AVE
Practice Address - Street 2:SUITE 402
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-5536
Practice Address - Country:US
Practice Address - Phone:718-886-0900
Practice Address - Fax:718-886-0999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-07
Last Update Date:2008-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY036029-11223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00696731Medicaid