Provider Demographics
NPI:1952361883
Name:NGUYEN, THUY T (MD FACS)
Entity Type:Individual
Prefix:
First Name:THUY
Middle Name:T
Last Name:NGUYEN
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Gender:F
Credentials:MD FACS
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Mailing Address - Street 1:2500 NESCONSET HWY
Mailing Address - Street 2:BILLING DEPT SUITE 4D NGUYEN PLASTIC SURGERY PC
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11790
Mailing Address - Country:US
Mailing Address - Phone:631-689-6500
Mailing Address - Fax:631-689-6521
Practice Address - Street 1:2500 NESCONSET HWY
Practice Address - Street 2:SUITE 4A NGUYEN PLASTIC SURGERY PC
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11790
Practice Address - Country:US
Practice Address - Phone:631-689-6500
Practice Address - Fax:631-689-6521
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-24
Last Update Date:2013-02-25
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Provider Licenses
StateLicense IDTaxonomies
NY193693208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
1952361883OtherA400079102
1952361883OtherA400079102