Basic Information
Provider Information
NPI: 1255573341
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HUH
FirstName: PHILIP
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2700 WESTCHESTER AVE
Address2:  
City: PURCHASE
State: NY
PostalCode: 105772547
CountryCode: US
TelephoneNumber: 9146075730
FaxNumber: 9146305996
Practice Location
Address1: 41 E POST RD
Address2: WHITE PLAINS HOSPITAL
City: WHITE PLAINS
State: NY
PostalCode: 106014607
CountryCode: US
TelephoneNumber: 9146810600
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/03/2009
LastUpdateDate: 08/25/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208M00000X265952NYY Allopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


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