Individual
DE CONG TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
33-45 94 STREET, APT 1 J, JACKSON HEIGHTS, NY 11372-1943
(718) 429-2186
Mailing address
33-45 94 STREET, APT 1 J, JACKSON HEIGHTS, NY 11372-1943
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N05850
NY
Other
Enumeration date
05/26/2006
Last updated
04/24/2011
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