Provider Demographics
NPI:1003029232
Name:DR TUYEN T TRINH, D.O.,PLLC
Entity Type:Organization
Organization Name:DR TUYEN T TRINH, D.O.,PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TUYEN
Authorized Official - Middle Name:T
Authorized Official - Last Name:TRINH
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:212-233-6662
Mailing Address - Street 1:118 BAXTER ST
Mailing Address - Street 2:ROOM 502
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-3602
Mailing Address - Country:US
Mailing Address - Phone:212-233-6662
Mailing Address - Fax:212-233-6663
Practice Address - Street 1:118 BAXTER ST
Practice Address - Street 2:ROOM 502
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-3602
Practice Address - Country:US
Practice Address - Phone:212-233-6662
Practice Address - Fax:212-233-6663
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY204862207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty