Individual
DR. ROSE MONG PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
420 E 76TH ST, NEW YORK, NY 10021-3104
(212) 988-4400
(212) 434-5306
Mailing address
213 E 25TH ST, #2C, NEW YORK, NY 10010-3023
(212) 481-4018
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
218951
NY
Other
Enumeration date
06/27/2006
Last updated
07/08/2007
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