Individual
DAI B PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP CANDIDATE
Contact information
Practice address
303 5TH AVE RM 602, NEW YORK, NY 10016-6654
(914) 246-8144
Mailing address
1661 YORK AVE APT 6F, NEW YORK, NY 10128-6567
(212) 961-6544
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
838547
NY
Other
Enumeration date
05/20/2025
Last updated
02/18/2026
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