1669859583 NPI number — NOS CONSULTING LICENSED CLINICAL SOCIAL WORKER, PLLC

Table of content: DR. KUN JIANG HUANG M.D. (NPI 1821270240)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1669859583 NPI number — NOS CONSULTING LICENSED CLINICAL SOCIAL WORKER, PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NOS CONSULTING LICENSED CLINICAL SOCIAL WORKER, PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1669859583
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/29/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
19 W 34TH ST
Provider Second Line Business Mailing Address:
PH-FLOOR
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10001-3006
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
917-597-3651
Provider Business Mailing Address Fax Number:
212-426-2447

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
19 W 34TH ST
Provider Second Line Business Practice Location Address:
PH-FLOOR
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10001-3006
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
917-597-3651
Provider Business Practice Location Address Fax Number:
212-426-2447
Provider Enumeration Date:
04/29/2015

Additional Information

Authorized Official

Authorized Official Last Name:
VAUGHAN
Authorized Official First Name:
JAMES
Authorized Official Middle Name:
ANTONIO
Authorized Official Title or Position:
FOUNDER & CEO
Authorized Official Telephone Number:
917-597-3651

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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