Provider Demographics
NPI:1730489907
Name:NGUYEN, THOMAS VU (DC, CICE)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:VU
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:DC, CICE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 W 32ND ST FL 2
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-0291
Mailing Address - Country:US
Mailing Address - Phone:212-564-1181
Mailing Address - Fax:212-564-1191
Practice Address - Street 1:12 W 32ND ST FL 2
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-0291
Practice Address - Country:US
Practice Address - Phone:212-564-1181
Practice Address - Fax:212-564-1191
Is Sole Proprietor?:No
Enumeration Date:2010-10-22
Last Update Date:2019-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX009720111NI0013X, 111NR0400X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NI0013XChiropractic ProvidersChiropractorIndependent Medical Examiner
No111NR0400XChiropractic ProvidersChiropractorRehabilitation