Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | TUV5361 | NY |
N | 156FC0800X | Contact Lens | TUV5361 | NY |
NPI | 1912057555 |
---|---|
Provider Name | Dr. Thuy Xuan Dao Priest |
First Address | Rochester, NY 14623-2532 |
Second Address | Rochester, NY 14623-2532 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/01/2007 |
Last Update Date | 06/07/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100184CS | PREFERRED CARE (01) | NY |
NY5361 | EXCELLUS (01) | NY |
U49228 | (02) |