Tuong Phan

NPI #1235310137 in Woodside, New York

Provider Information

NPI Number: 1235310137
Entity Type: Individual
Name: Tuong Phan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Nov 19, 2007
Last Updated: Nov 19, 2007

Practice Location

Address: 5015 ROOSEVELT AVE
City: Woodside
State: New York
ZIP Code: 11377-4458
Phone: (718) 426-7572

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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