PHONG A THAI DPM

Dr PHONG A THAI DPM is a male medical professional, specializing in Podiatry. He graduated in 1993 from New York College Of Podiatric Medicine.

Contact

93 -01
QUEENS VILLAGE
NY
114281834

Tel:

PHONG A THAI DPM Information

Npi 1285659227
Pac Id 4688639479
Professional Enrollment Id I20041122000088
Last Name THAI
First Name PHONG
Middle Name A
Suffix
Gender M
Credential DPM
Medical School Name NEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduation Year 1993
Primary Specialty PODIATRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 93 -01
Line 2 Street Address
Marker Of Address Line 2 Suppression
City QUEENS VILLAGE
State NY
Zip Code 114281834
Phone Number
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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