Individual
DR. LAN PHUONG PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1825 COMMERCE ST, YORKTOWN HEIGHTS, NY 10598-4432
(914) 772-9983
(845) 251-4136
Mailing address
16 NOTTINGHAM WAY, MAHOPAC, NY 10541-3774
(914) 484-1518
(845) 251-4136
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
207363
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02235023
—
NY
01
—
A400104767
MEDICARE PTAN
NY
Enumeration date
06/29/2006
Last updated
07/20/2022
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