Provider Demographics
NPI:1649540097
Name:HUH EAR NOSE & THROAT, PLLC
Entity type:Organization
Organization Name:HUH EAR NOSE & THROAT, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HUH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-829-1801
Mailing Address - Street 1:2 LAKEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11020-1618
Mailing Address - Country:US
Mailing Address - Phone:516-829-1801
Mailing Address - Fax:
Practice Address - Street 1:125 SAINT NICHOLAS AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11237-4059
Practice Address - Country:US
Practice Address - Phone:718-756-9025
Practice Address - Fax:718-821-6444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-03
Last Update Date:2012-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2014331207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01978101Medicaid
NY07Z871Medicare PIN
NY1386686293Medicare UPIN