DR. THUC DUY PHAN M.D. NPI 1205125291

NPI Information

NPI: 1205125291
Provider Name: DR. THUC DUY PHAN, M.D.
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Individual

Specialization: Child & Adolescent Psychiatry

Address:
28 WILLIAM ST
GOUVERNEUR, NY
ZIP 13642
Phone: (315) 287-2811
Get Directions

DR. Thuc Duy Phan, M.D. is a child and adolescent psychiatry psychiatry neurology in Gouverneur, NY. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. DR. Thuc Duy Phan, M.D. NPI is 1205125291. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

28 WILLIAM ST
GOUVERNEUR, NY
ZIP 13642-405
Phone: (315) 287-2811

The enumeration date for this NPI number is 3/31/2011 and was last updated on 11/16/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	R0297	TEXAS	No
2	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	269123	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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