Individual
ERIC NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
535 W 110TH ST APT 1E, NEW YORK, NY 10025-2021
(503) 841-3806
Mailing address
507 N 17TH ST, MILWAUKEE, WI 53233-2104
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
034617
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/14/2025
Last updated
11/20/2025
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