Individual
DIEU BUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
739 IRVING AVE STE 340, SYRACUSE, NY 13210-1605
(315) 470-7747
(315) 470-7758
Mailing address
1001 W FAYETTE ST STE 400, SYRACUSE, NY 13204-2866
(315) 937-3433
(315) 937-3957
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
026002
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2020
Last updated
09/26/2022
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