Provider Demographics
NPI:1780980649
Name:HUANG, CINDY YI-SHAN (PHD)
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:YI-SHAN
Last Name:HUANG
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:CINDY
Other - Middle Name:YI-SHAN
Other - Last Name:HUANG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:106 MORNINGSIDE DR APT 72
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10027-6027
Mailing Address - Country:US
Mailing Address - Phone:212-678-8118
Mailing Address - Fax:
Practice Address - Street 1:525 W 120TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10027
Practice Address - Country:US
Practice Address - Phone:212-678-8118
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-09
Last Update Date:2019-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022752103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent