Individual
THERESA BICH TRAN DAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1150 3RD AVE, NEW YORK, NY 10065
(212) 933-0007
Mailing address
1345 RXR PLZ FL 13, UNIONDALE, NY 11556-1301
(516) 453-0435
(646) 846-3283
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
289040
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972943017
—
NY
Enumeration date
07/03/2013
Last updated
03/15/2019
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