Provider Demographics
NPI:1588632012
Name:TRUONG, QUYNH ANH (MD)
Entity Type:Individual
Prefix:DR
First Name:QUYNH
Middle Name:ANH
Last Name:TRUONG
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:575 LEXINGTON AVE STE 500
Mailing Address - Street 2:NEWYORK-PRESBYTERIAN - WEILL CORNELL MEDICAL COLLEGE
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-6102
Mailing Address - Country:US
Mailing Address - Phone:212-746-6000
Mailing Address - Fax:646-962-0122
Practice Address - Street 1:525 E. 68TH STREET, BOX 141
Practice Address - Street 2:NEWYORK-PRESBYTERIAN-WEILL CORNELL MEDICAL COLLEGE
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-4885
Practice Address - Country:US
Practice Address - Phone:212-746-6000
Practice Address - Fax:646-962-0122
Is Sole Proprietor?:No
Enumeration Date:2006-03-10
Last Update Date:2023-08-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA229354207R00000X, 207RC0000X
CAA78594207R00000X, 207RC0000X
NY220078-1207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAI22542Medicare UPIN
CA00A785940Medicare ID - Type Unspecified