Nguyen, Duc Thanh

Nguyen, Duc Thanh is an individual health care provider with primary practice located at 17 Lansing St , Auburn NY 13021-1983. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Nguyen, Duc Thanh can be contacted via phone (315) 567-0437.

Contact Information

Primary practice address
17 Lansing St Auburn NY 13021-1983
Phone: (315) 567-0437
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 23 013181 New York
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 013181 New York

Profile Details

NPI number 1134363682
LBN Legal business name Nguyen, Duc Thanh
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2009
Last updated Mar 4th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134363682 NPPES
New York MEDICAID 03142665

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