Provider Demographics
NPI:1972648509
Name:NGO, TRANG NHOA VAN (ACUPUNCTURIST)
Entity Type:Individual
Prefix:
First Name:TRANG NHOA
Middle Name:VAN
Last Name:NGO
Suffix:
Gender:M
Credentials:ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9003 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-5907
Mailing Address - Country:US
Mailing Address - Phone:718-238-2554
Mailing Address - Fax:718-238-7192
Practice Address - Street 1:9003 5TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-5907
Practice Address - Country:US
Practice Address - Phone:718-238-2554
Practice Address - Fax:718-238-7192
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001131171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist