Individual
JEFFREY HUANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
13 MARKET ST, POUGHKEEPSIE, NY 12601-3207
(845) 849-0403
(845) 849-0488
Mailing address
38 RUTGERS ST, APT.# 19E, NEW YORK, NY 10002-7408
(315) 516-9900
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
055633
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03369308
—
NY
Enumeration date
04/12/2010
Last updated
06/27/2015
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