Individual
LINCOLN NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
535 E 70TH ST, NEW YORK, NY 10021-4823
(212) 606-1555
Mailing address
3450 WAYNE AVE APT 6R, BRONX, NY 10467-2517
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/30/2021
Last updated
10/12/2023
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