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1033665864
THAO NGUYEN
CORAM, NY
NPI
1033665864
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: NY F401940-1)
Enumeration Date
2016-08-31
Last Update Date
2023-10-27
Business Address
THAO NGUYEN NPP
12 FAIRWOOD LN
CORAM, NY 11727-3336
Phone number: 631-318-4004
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Mailing Address
THAO NGUYEN NPP
1070 MIDDLE COUNTRY RD STE 7-271
SELDEN, NY 11784-2580
Phone number: 516-398-6691
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