Phan, Terry
Phan, Terry is an individual health care provider with primary practice located at 113 Holland Avenue Va Hospital, Albany NY 12208. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutritionist, which is considered as her primary health care specialty. Phan, Terry can be contacted via phone (518) 626-6868.Contact Information
Primary practice address
113 Holland Avenue Va Hospital
Albany NY 12208
Phone: (518) 626-6868
Fax: (518) 626-5678
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Nutritionist | 133N00000X | 005564 | New York |
Profile Details
| NPI number | 1811087554 |
|---|---|
| LBN Legal business name | Phan, Terry |
| Credentials | NUTRITIONIST |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2006 |
| Last updated | Dec 17th, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811087554 | NPPES |
| New York | Other | 005561 | LICENSE |
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