Individual
DR. ELIZABETH A NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
516 PROSPECT AVE, PEDIATRICS, SYRACUSE, NY 13208-2523
(315) 703-5270
(315) 703-5271
Mailing address
516 PROSPECT AVE, PEDIATRICS, SYRACUSE, NY 13208-2523
(315) 703-5270
(315) 703-5271
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
190623
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01396818
—
NY
Enumeration date
08/18/2006
Last updated
08/14/2013
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