Provider Demographics
NPI:1548231277
Name:NGUYEN, VAN HONG D (MD)
Entity Type:Individual
Prefix:
First Name:VAN HONG
Middle Name:D
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:35 E 85TH STREET
Mailing Address - Street 2:STE 1
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028
Mailing Address - Country:US
Mailing Address - Phone:212-426-7300
Mailing Address - Fax:212-426-8385
Practice Address - Street 1:35 E 85TH ST
Practice Address - Street 2:SUITE 1
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-0954
Practice Address - Country:US
Practice Address - Phone:212-426-7300
Practice Address - Fax:212-426-8385
Is Sole Proprietor?:No
Enumeration Date:2006-01-31
Last Update Date:2014-09-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY214213-1207RC0000X, 207UN0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03838520Medicaid
NY03838520Medicaid
VN05153E10Medicare ID - Type Unspecified