Provider Demographics
NPI:1205168929
Name:HUANG, DAVID (PHARM D)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:HUANG
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 INDUSTRIAL LN
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10805-1203
Mailing Address - Country:US
Mailing Address - Phone:914-636-0291
Mailing Address - Fax:914-632-6865
Practice Address - Street 1:1 INDUSTRIAL LN
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10805-1203
Practice Address - Country:US
Practice Address - Phone:914-636-0291
Practice Address - Fax:914-632-6865
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-04
Last Update Date:2010-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY049929183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist