| Jie Huang, | |
|
1300 Roanoke Ave, Riverhead, NY 11901-2031 | |
| (646) 706-3679 | |
| Not Available |
| Full Name | Jie Huang |
|---|---|
| Gender | Male |
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
| Location | 1300 Roanoke Ave, Riverhead, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790909364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 260916 (New York) | Primary |
| 207ZC0500X | Pathology - Cytopathology | 260916 (New York) | Secondary |
| Entity Name | New York City Health And Hospitals Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548208127 PECOS PAC ID: 4183535305 Enrollment ID: O20040322001521 |
| Mailing Address | Practice Location Address |
|---|---|
| Jie Huang, 4330 46th St, 6e, Sunnyside, NY 11104-2062 Ph: (646) 706-3679 | Jie Huang, 1300 Roanoke Ave, Riverhead, NY 11901-2031 Ph: (646) 706-3679 |
Elay Caracuel, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1300 Roanoke Avenue, Riverhead, NY 11901 Phone: 631-477-1755 Fax: 631-477-1280 | |
Ranjana Mathur, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1300 Roanoke Ave, Riverhead, NY 11901 Phone: 631-548-6146 Fax: 631-548-6150 | |
Arjun Mehta, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 1 Heroes Way, Riverhead, NY 11901 Phone: 631-548-6446 |