Organization
MIAVA TULY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TUAN B NGUYEN MD (PRESIDENT)
(201) 674-1222
Entity
Organization
Contact information
Practice address
515 85TH ST FL 2, BROOKLYN, NY 11209-4810
(201) 674-1222
Mailing address
515 85TH ST FL 2, BROOKLYN, NY 11209-4810
(201) 674-1222
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MA07051500
NJ
Other
Enumeration date
11/20/2015
Last updated
11/20/2015
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