Individual
QUENTIN PHUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9 OLD PLANK RD, SUITE 100, CLIFTON PARK, NY 12065-3107
(518) 371-0777
(518) 371-0366
Mailing address
9 OLD PLANK RD, SUITE 100, CLIFTON PARK, NY 12065-3107
(518) 371-0777
(518) 371-0366
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
A234866
NY
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
234866-1
NY
208VP0000X
Pain Medicine Physician
234866
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000418627001
BSNENY PIN - SPECIALIST
NY
01
—
000418627005
BSNENY PIN - ACUPUNTURIST
NY
05
—
03056902
—
NY
Enumeration date
06/14/2007
Last updated
05/07/2019
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