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NPI Code Detail

MEDICARE: THAO NGUYEN

MEDICARE: THAO NGUYEN
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
1103TC0700XClinical Psychologist027961NY

General Provider Information

NPI Number : 1528748845
Entity Type Code : Individual
Provider Name (Legal Business Name) : THAO NGUYEN
Provider Business Mailing Address
First Line : 7 HOMESTEAD VW
Second Line :
City : ROCHESTER
State : NY
Zip : 14624-4361
Country : US
Telephone Number : 585-368-6700
Fax Number : 585-368-6767
Provider Business Practice Location Address
First Line : 100 PINEWILD DR
Second Line :
City : ROCHESTER
State : NY
Zip : 14606-4200
Country : US
Telephone Number : 585-368-6700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2023
Last Update Date : 02/04/2026

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