Individual
EMILY TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 NICOLLS RD, STONY BROOK, NY 11794-0001
(631) 632-6000
Mailing address
100 NICOLLS RD, STONY BROOK, NY 11794-0001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1223606
NY
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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