Provider Demographics
NPI:1366808511
Name:YIQUN HUI MD PLLC
Entity type:Organization
Organization Name:YIQUN HUI MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:YIQUN
Authorized Official - Middle Name:
Authorized Official - Last Name:HUI
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PHD
Authorized Official - Phone:718-889-1062
Mailing Address - Street 1:180 S MIDDLE NECK RD
Mailing Address - Street 2:3A
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-4643
Mailing Address - Country:US
Mailing Address - Phone:917-239-4720
Mailing Address - Fax:
Practice Address - Street 1:4316 215TH ST
Practice Address - Street 2:1ST FL
Practice Address - City:BAYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11361-2976
Practice Address - Country:US
Practice Address - Phone:718-889-1062
Practice Address - Fax:718-374-6582
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-04
Last Update Date:2016-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY261914207RA0201X, 207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergyGroup - Multi-Specialty
No207RA0201XAllopathic & Osteopathic PhysiciansInternal MedicineAllergy & ImmunologyGroup - Multi-Specialty