Individual
DR. LONG THANH NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-2000
Mailing address
10 HALLETTS PT APT 1041, ASTORIA, NY 11102-4686
(712) 389-2776
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
064445
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467997601
—
IA
05
—
1467997601
—
NY
Enumeration date
12/26/2016
Last updated
06/21/2019
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