Individual
TONY QUACH
Active
Individual
TONY QUACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
239205
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00669
MEDICARE GROUP NUMBER
NY
01
—
02993566
MEDICAID GROUP
NY
05
—
03123580
—
NY
01
—
P00871365
RAILROAD MEDICARE
NY
Enumeration date
04/14/2009
Last updated
08/09/2023
Update your record
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