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Individual

HAI-TRIEU JOSEPH LE PHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
EMT-B

Contact information

Practice address
275 MOUNT CARMEL AVE, HAMDEN, CT 06518-1961
(516) 987-2587
Mailing address
48 PARKWAY DR, ROSLYN HEIGHTS, NY 11577-2708
(516) 987-2587

Taxonomy

Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
455152
NY
2255A2300X
Athletic Trainer
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
09/16/2019
Last updated
09/16/2019
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