Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 256857 | NY |
N | 207WX0107X | Retina Specialist | 256857-1 | NY |
NPI | 1033314257 |
---|---|
Provider Name | Dr. Quan Hoang |
First Address | New York, NY 10032-3724 |
Second Address | New York, NY 10032-3724 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2007 |
Last Update Date | 16/02/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03225578 | (05) | NY |