Individual
DR. TRACY T. NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
33 W 42ND ST, NEW YORK, NY 10036-8005
(212) 938-5594
Mailing address
33 W 42ND ST, NEW YORK, NY 10036-8005
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003086
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200316900
—
IN
Enumeration date
03/14/2006
Last updated
03/12/2013
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