Individual
THUC HA MINH BUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
45 READE PL, POUGHKEEPSIE, NY 12601-3947
(803) 322-5706
Mailing address
45 READE PL, POUGHKEEPSIE, NY 12601-3947
(803) 322-5706
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/12/2021
Last updated
09/17/2021
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