Dr. Phong An Thai
Foot Surgery
9301 218th St
Queens Village
, New York 11428-1834
Dr. Phong An Thai
Foot Surgery
9301 218th St
Queens Village
, New York 11428-1834
(718) 740-3653
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About
Features
Specialties
- Foot Surgery
Languages spoken
- English
Location
First Address
- Dr. Phong An Thai
- 9301 218th St
- Queens Village, NY
- Zip : 11428-1834
- Fax : (718) 740-3653
- Phone : (718) 740-3271
Second Address
- Dr. Phong An Thai
- 9301 218th St
- Queens Village, NY
- Zip : 11428-1834
- Fax : (718) 740-3653
- Phone : (718) 740-3271
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0131X | Foot Surgery | N005157 | NY |
National Provider Identifier
| NPI | 1285659227 |
|---|---|
| Provider Name | Dr. Phong An Thai |
| First Address | Queens Village, NY 11428-1834 |
| Second Address | Queens Village, NY 11428-1834 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/07/2006 |
| Last Update Date | 15/07/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01590394 | (05) | NY |
| U54716 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.