Individual
TRAM MAI DANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 NICOLLS RD, STONY BROOK, NY 11794-0001
(631) 444-2001
(631) 444-6183
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(631) 444-0650
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
F-350252
NY
Other
Enumeration date
06/30/2008
Last updated
05/09/2015
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