Healthcare Provider Details

I. General information

NPI: 1922719772
Provider Name (Legal Business Name): CINDY TRAN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/12/2022
Last Update Date: 12/13/2022
Certification Date: 12/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3009 BROADWAY
NEW YORK NY
10027-6909
US

IV. Provider business mailing address

300 W 112TH ST LLA
NEW YORK NY
10026
US

V. Phone/Fax

Practice location:
  • Phone: 212-854-2091
  • Fax:
Mailing address:
  • Phone: 626-231-1285
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1400X
TaxonomyCollege Health Registered Nurse
License Number799145-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: