Individual
CHAU MING NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
205 E MAIN ST STE 2-7, HUNTINGTON, NY 11743-2923
(631) 403-2375
(631) 403-1182
Mailing address
PO BOX 1064, EAST NORTHPORT, NY 11731
(631) 403-2375
(206) 339-7108
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
247136
NY
207N00000X
Dermatology Physician
A73209
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A732090
—
CA
Enumeration date
07/06/2006
Last updated
03/14/2022
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