Individual
MR. PHAT TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(918) 720-6136
Mailing address
2516 30TH DR APT 1F, ASTORIA, NY 11102-2733
(915) 261-9010
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
43430925
NY
Other
Enumeration date
08/25/2015
Last updated
08/25/2015
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