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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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 |
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