institution
Thao Nguyen Nurse Practitioner In Psychiatry Pc
Psychiatric/Mental Health Nurse Practitioner in Coram, New York
NPI 1992320725

Thao Nguyen Nurse Practitioner In Psychiatry Pc is a Psychiatric/Mental Health Nurse Practitioner based in Selden, NY and is specialized in Psychiatric/Mental Health. Thao Nguyen Nurse Practitioner In Psychiatry Pc practices in Coram, NY. The NPI Number for Thao Nguyen Nurse Practitioner In Psychiatry Pc is 1992320725 and holds a License No. (New York).

The current practice location address for Thao Nguyen Nurse Practitioner In Psychiatry Pc is 12 Fairwood Ln, Coram, NY and can be reached out via phone at 631-318-4004 and via fax at 631-318-6443.

Location: 12 Fairwood Ln, Coram, NY, 11784-2580
institution
Provider Profile Details
NPI Number
1992320725
Provider Name
Thao Nguyen Nurse Practitioner In Psychiatry Pc
Credential
Provider Entity Type
Organization
Address
12 Fairwood Ln, Coram, NY, 11784-2580
Phone Number
631-318-4004
Fax Number
631-318-6443
Provider Enumeration Date
06/08/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
04591291 05 NY
institution
Provider Business Practice Location Address Details
Address
12 Fairwood Ln
City
State
Zip
11727-3336
Phone Number
631-318-4004
Fax Number
631-318-6443
person
Provider Business Mailing Address Details
Address
12 Fairwood Ln
City
State
Zip
11727-3336
Phone Number
631-318-4004
Fax Number
631-318-6443
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
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Definition
Definition to come...
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