| Doctor Name: | MRS. NGUYET THUY DUONG |
| NPI Number: | 1063641074 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NURSE PRACTITIONER |
| License Number: | 305140 |
| Business Practice Address: | 3728 77th St Jackson Heights, NY - 113726630 |
| Business Phone Number: | 7183357378 |
| Business Fax Number: | 7183351071 |
| Mailing Address: | 915 Split Rock Rd, PELHAM |
| State: | NY |
| Postal Code: | 108033109 |
| Phone Number: | 7183357378 |
| Fax Number: | 7183351071 |
| NPI Enumeration Date: | 07/11/2009 |
| NPI Last Update Date: | 12/12/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 305140 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |