Provider Demographics
NPI:1255126934
Name:HUO, JING (RN)
Entity type:Individual
Prefix:
First Name:JING
Middle Name:
Last Name:HUO
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4915 FRANCIS LEWIS BLVD
Mailing Address - Street 2:
Mailing Address - City:OAKLAND GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11364-1054
Mailing Address - Country:US
Mailing Address - Phone:516-395-0133
Mailing Address - Fax:
Practice Address - Street 1:4915 FRANCIS LEWIS BLVD
Practice Address - Street 2:
Practice Address - City:OAKLAND GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11364-1054
Practice Address - Country:US
Practice Address - Phone:516-395-0133
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-12
Last Update Date:2025-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY602318163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse