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DR. PHIL PHONG NGUYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
1312 38TH ST, BROOKLYN, NY 11218-3612
(718) 686-7600
Mailing address
4268 HUNTER ST FL 4, LONG ISLAND CITY, NY 11101-4117

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV008976
NY
152WP0200X
Pediatric Optometrist
TUV008976
NY
152WV0400X
Vision Therapy Optometrist
TUV008976
NY

Other

Enumeration date
07/02/2019
Last updated
07/02/2019
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