Individual
CECELIA ISABELLA TRUONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1440 BROADWAY, NEW YORK, NY 10018-2301
(212) 221-3844
Mailing address
1440 BROADWAY, NEW YORK, NY 10018-2301
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
780616
NY
163W00000X
Registered Nurse
854907
TX
363LF0000X
Family Nurse Practitioner
Primary
345284
NY
Other
Enumeration date
04/14/2019
Last updated
12/10/2019
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