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CALVIN PHUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
525 EAST 68TH ST, BOX 179, NEW YORK, NY 10065-4870
(212) 746-0780
Mailing address
525 EAST 68TH ST, BOX 179, NEW YORK, NY 10065-4870

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
908627
NY
363L00000X
Nurse Practitioner
Primary
357137
NY

Other

Enumeration date
06/24/2025
Last updated
07/08/2025
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