Individual
PHUONG-ANH T. DUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6 OHIO DR., LAKE SUCCESS, NY 11042
(516) 222-2022
(516) 730-2081
Mailing address
6 OHIO DR., LAKE SUCCESS, NY 11042
(516) 222-2022
(516) 730-2081
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101237896
VA
2085R0202X
Diagnostic Radiology Physician
Primary
319495
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010176221
—
VA
Enumeration date
01/17/2007
Last updated
12/01/2022
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