Individual
DR. PATRICIA MY-LAN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
99 EAST STATE STREET, MAB-GPCC, GLOVERSVILLE, NY 12078
(518) 773-5729
(518) 775-4118
Mailing address
99 EAST STATE STREET, PO BOX 1250, GLOVERSVILLE, NY 12078
(518) 773-5729
(518) 775-4118
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
210073
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000490195001
BSH NE NY
NY
05
—
02007894
—
NY
01
—
10027129
CDPHP
NY
01
—
15456
MVP HEALTH PLAN
NY
Enumeration date
08/16/2006
Last updated
01/22/2015
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