Individual
TERRY VUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
575 UNDERHILL BLVD STE 190, SYOSSET, NY 11791-3494
(516) 210-8840
Mailing address
575 UNDERHILL BLVD STE 190, SYOSSET, NY 11791-3494
(516) 210-8840
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
301480
NY
207QB0002X
Obesity Medicine (Family Medicine) Physician
Primary
301480
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2017
Last updated
11/02/2022
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