Phung, Quentin

Phung, Quentin is an sole proprietor health care provider with primary practice located at 9 Old Plank Rd Suite 100, Clifton Park NY 12065-3107. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Acupuncturist, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Phung, Quentin can be contacted via phone (518) 371-0777.

Contact Information

Primary practice address
9 Old Plank Rd Suite 100 Clifton Park NY 12065-3107
Phone: (518) 371-0777
Fax: (518) 371-0366
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X A234866 New York
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 234866 New York
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 234866-1 New York

Profile Details

NPI number 1306040936
LBN Legal business name Phung, Quentin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2007
Last updated May 7th, 2019 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1306040936 NPPES
New York Other 000418627001 BSNENY PIN - SPECIALIST
New York MEDICAID 03056902 BSNENY PIN - SPECIALIST
New York Other 000418627005 BSNENY PIN - SPECIALIST

Popular Providers