Individual
THANH HUYNH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(202) 639-2000
Mailing address
143 NORTH ST, NEWBURGH, NY 12550-3301
(845) 220-6716
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
018033
NY
363AS0400X
Surgical Physician Assistant
Primary
018033
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04055767
—
NY
Enumeration date
09/09/2014
Last updated
03/17/2018
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