Thai, Phong An

Thai, Phong An is an sole proprietor health care provider with primary practice located at 9301 218Th St , Queens Village NY 11428-1834. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Thai, Phong An can be contacted via phone (718) 740-3271.

Contact Information

Primary practice address
9301 218Th St Queens Village NY 11428-1834
Phone: (718) 740-3271
Fax: (718) 740-3653
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X N005157 New York

Profile Details

NPI number 1285659227
LBN Legal business name Thai, Phong An
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2006
Last updated Jul 15th, 2010 - about 14 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 1285659227 NPPES
New York MEDICAID 01590394

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