Provider Demographics
NPI:1154405140
Name:NGUYEN, HUYEN T (MD)
Entity type:Individual
Prefix:
First Name:HUYEN
Middle Name:T
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 PARK AVE
Mailing Address - Street 2:SUITE 1H
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-3075
Mailing Address - Country:US
Mailing Address - Phone:212-679-4134
Mailing Address - Fax:212-679-7079
Practice Address - Street 1:50 PARK AVE
Practice Address - Street 2:SUITE 1H
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-3075
Practice Address - Country:US
Practice Address - Phone:212-679-4134
Practice Address - Fax:212-679-7079
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2021-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY245781207N00000X
HI14139207N00000X
CAA72977207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY17482EN721Medicare PIN