MEDICARE: DR. CHAU TRUNG DUONG DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	N004992	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164405775
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHAU TRUNG DUONG DPM

Provider Business Mailing Address
First Line	:	1602 86TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11214-2816
Country	:	US
Telephone Number	:	718-256-0580
Fax Number	:	718-259-2208

Provider Business Practice Location Address
First Line	:	1602 86TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11214-2816
Country	:	US
Telephone Number	:	718-256-0580
Fax Number	:	718-259-2208

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/29/2005
Last Update Date	:	08/01/2013

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