person
Dr. Phong An Thai, DPM
Foot Surgery Podiatrist in Queens Village, New York
NPI 1285659227

Phong An Thai is a Foot Surgery Podiatrist based in Queens Village, NY and is specialized in Foot Surgery. Phong An Thai practices in Queens Village, NY and has the professional credentials of DPM. The NPI Number for Phong An Thai is 1285659227 and holds a License No. N005157 (New York).

The current practice location address for Phong An Thai is 9301 218Th St, Queens Village, NY and can be reached out via phone at 718-740-3271 and via fax at 718-740-3653.

Location: 9301 218Th St, Queens Village, NY, 11428-1834
person
Provider Profile Details
NPI Number
1285659227
Provider Name
Phong An Thai
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
9301 218Th St, Queens Village, NY, 11428-1834
Phone Number
718-740-3271
Fax Number
718-740-3653
Provider Enumeration Date
07/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01590394 05 NY
institution
Provider Business Practice Location Address Details
Address
9301 218Th St
City
State
Zip
11428-1834
Phone Number
718-740-3271
Fax Number
718-740-3653
person
Provider Business Mailing Address Details
Address
9301 218Th St
City
State
Zip
11428-1834
Phone Number
718-740-3271
Fax Number
718-740-3653
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
N005157 (New York)
Definition
Definition to come...
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