Provider Demographics
NPI:1043831936
Name:THWE, PHYU (MD)
Entity Type:Individual
Prefix:
First Name:PHYU
Middle Name:
Last Name:THWE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:PYAE
Other - Middle Name:
Other - Last Name:THWE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2209 GENESEE STREET
Mailing Address - Street 2:BUSINESS OFFICE ROOM 315
Mailing Address - City:UTICA
Mailing Address - State:NY
Mailing Address - Zip Code:13501
Mailing Address - Country:US
Mailing Address - Phone:315-801-3282
Mailing Address - Fax:315-801-8391
Practice Address - Street 1:417 TRENTON AVE
Practice Address - Street 2:
Practice Address - City:UTICA
Practice Address - State:NY
Practice Address - Zip Code:13502-1613
Practice Address - Country:US
Practice Address - Phone:315-797-5810
Practice Address - Fax:315-732-7030
Is Sole Proprietor?:No
Enumeration Date:2020-05-01
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NY324565207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program