Provider Demographics
NPI:1154965648
Name:B THUY LE MD P C
Entity type:Organization
Organization Name:B THUY LE MD P C
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:B. THUY
Authorized Official - Middle Name:
Authorized Official - Last Name:LE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-518-1785
Mailing Address - Street 1:594 BROADWAY RM 501
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10012-3257
Mailing Address - Country:US
Mailing Address - Phone:212-518-1785
Mailing Address - Fax:212-518-1782
Practice Address - Street 1:594 BROADWAY RM 501
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10012-3257
Practice Address - Country:US
Practice Address - Phone:212-518-1785
Practice Address - Fax:212-518-1782
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-29
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty