Provider Demographics
NPI:1871371526
Name:SHI, HUIHUI (AGNP-C)
Entity type:Individual
Prefix:
First Name:HUIHUI
Middle Name:
Last Name:SHI
Suffix:
Gender:F
Credentials:AGNP-C
Other - Prefix:
Other - First Name:HUIHUI
Other - Middle Name:
Other - Last Name:LI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:16330 26TH AVE
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11358-1010
Mailing Address - Country:US
Mailing Address - Phone:917-213-3156
Mailing Address - Fax:
Practice Address - Street 1:3508 146TH ST
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-4258
Practice Address - Country:US
Practice Address - Phone:718-362-6988
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-14
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY311490363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health