Individual
JIMMY TRUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
622 WEST 168TH STREET, VC2-SUITE #260, NEW YORK, NY 10032
(212) 305-2995
Mailing address
622 W 168TH ST, VC2 - SUITE #260, NEW YORK, NY 10032-3720
(212) 305-2995
(212) 305-6792
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
287171
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/20/2012
Last updated
03/06/2023
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