Individual
CUONG HUY QUACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4321
Mailing address
219 MULBERRY ST, APARTMENT 15, NEW YORK, NY 10012-5735
(714) 598-5398
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
298203
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/09/2016
Last updated
01/27/2020
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