Provider Demographics
NPI:1326323262
Name:KHUC, TOAN NANG
Entity Type:Individual
Prefix:MR
First Name:TOAN
Middle Name:NANG
Last Name:KHUC
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8054 CHEVY CHASE ST
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-1541
Mailing Address - Country:US
Mailing Address - Phone:646-886-2806
Mailing Address - Fax:
Practice Address - Street 1:8054 CHEVY CHASE ST
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-1541
Practice Address - Country:US
Practice Address - Phone:646-886-2806
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-11
Last Update Date:2011-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst