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Organization
THAO NGUYEN NURSE PRACTITIONER IN PSYCHIATRY PC
Active
Organization
THAO NGUYEN NURSE PRACTITIONER IN PSYCHIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THAO NGUYEN NP (OWNER)
(631) 318-4004
Entity
Organization
Contact information
Practice address
12 FAIRWOOD LN, CORAM, NY 11727-3336
(631) 318-4004
(631) 318-6443
Mailing address
1070 MIDDLE COUNTRY RD STE 7-271, SELDEN, NY 11784-2580
(516) 398-6691
(631) 318-6443
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/08/2020
Last updated
11/07/2023
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