Individual
MISS ANH THI NGUYET PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
850 HOPKINS RD., WILLIAMSVILLE, NY 14221
(716) 688-9641
(716) 829-2447
Mailing address
135 NORTH UNION ST., OLEAN, NY 14760
(716) 375-7500
(716) 806-1287
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/07/2019
Last updated
01/02/2020
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