Individual
DR. PHONG CAM TA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
410 W 53RD ST, APT 126, NEW YORK, NY 10019-5622
(215) 527-8768
Mailing address
410 W 53RD ST, APT 126, NEW YORK, NY 10019-5693
(215) 527-8768
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
P65701
NY
1223D0004X
Dental Anesthesiology
Primary
054360
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03203894
—
NY
Enumeration date
11/05/2008
Last updated
06/16/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us