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NPI Code Detail

MEDICARE: LAN V PHAM MD PC

MEDICARE: LAN V PHAM MD PC
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
1207W00000XOphthalmology Physician207363NY

General Provider Information

NPI Number : 1619307550
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAN V PHAM MD PC
Provider Business Mailing Address
First Line : 1825 COMMERCE ST
Second Line :
City : YORKTOWN HEIGHTS
State : NY
Zip : 10598-4432
Country : US
Telephone Number : 914-772-9983
Fax Number : 845-251-4136
Provider Business Practice Location Address
First Line : 1825 COMMERCE ST
Second Line :
City : YORKTOWN HEIGHTS
State : NY
Zip : 10598-4432
Country : US
Telephone Number : 914-772-9983
Fax Number : 845-251-4136
Authorized Official
Title or Position : MD
Name : LAN PHUONG VU PHAM
Credential : MD
Telephone Number : 914-772-9983
Provider Enumeration Date : 11/13/2013
Last Update Date : 03/13/2026

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