Most Relevant Information
Provider Data
| NPI Number: | 1003311242 |
| Provider Name: | ANTHONY NGUYEN MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/29/2018 |
| Last Updated: | 06/20/2022 |
Provider Practice Location
1000 MONTAUK HWY
WEST ISLIP
NY
117954927
Practice Location Phone/Fax
| Phone: | 6313764163 |
| Fax: |
Provider Mailing Location
1000 MONTAUK HWY
WEST ISLIP
NY
117954927
Provider Mailing Phone/Fax
| Phone: | 6313764163 |
| Fax: |