Individual
DR. CHI THI NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 COMMUNITY DRIVE, MANHASSET, NY 11030
(516) 465-8855
Mailing address
1330 1ST AVE, APT 1119, NEW YORK, NY 10021-5342
(714) 206-7745
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036.117860
IL
207P00000X
Emergency Medicine Physician
249532
NY
207P00000X
Emergency Medicine Physician
A99579
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036.117860
PHYSICIAN LICENSE
IL
01
—
336.079037
CONTROLLED SUBSTANCE
IL
01
—
A99579
PHYSICIAN LICENSE
CA
Enumeration date
05/07/2007
Last updated
10/12/2012
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