Individual
MRS. KHANH HUE THAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
515 6TH ST, BROOKLYN, NY 11215-3608
(929) 470-9600
Mailing address
515 6TH ST, BROOKLYN, NY 11215-3608
(929) 470-9600
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
697315
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
309845
NY
Other
Enumeration date
03/02/2021
Last updated
08/29/2023
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