MEDICARE: TRAN LAM HUYNH M.D.

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	208000000X	Pediatrics Physician	271565	NY

General Provider Information

NPI Number	:	1154603363
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRAN LAM HUYNH M.D.

Provider Business Mailing Address
First Line	:	2552 STEINWAY ST
Second Line	:
City	:	ASTORIA
State	:	NY
Zip	:	11103-3777
Country	:	US
Telephone Number	:	646-429-2190
Fax Number	:

Provider Business Practice Location Address
First Line	:	2552 STEINWAY ST
Second Line	:
City	:	ASTORIA
State	:	NY
Zip	:	11103-3777
Country	:	US
Telephone Number	:	646-429-2190
Fax Number	:

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

Provider Enumeration Date	:	09/13/2011
Last Update Date	:	12/03/2015

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