Individual
DR. DUSTIN TRIET NGUYEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
202 CANAL ST, FL 7, NEW YORK, NY 10013-4517
(212) 334-7475
(212) 334-5702
Mailing address
PO BOX 1436, NEW YORK, NY 10013-0868
(212) 334-7475
(212) 334-5702
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
198018
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01618524
—
NY
Enumeration date
07/06/2005
Last updated
11/07/2016
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