| Provider / Organization | NPI | Date Certified |
|---|---|---|
| NGUYEN KHOI NGUYEN | 1366117780 | 2023-05-09 |
Nguyen Khoi Nguyen is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1366117780. Registration indicates Nguyen Khoi Nguyen is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)
| Entity Type | Individual |
| Provider Name | Mr. Nguyen Khoi Nguyen PA-C |
| Other Provider Name | Khoi Nguyen |
| Practice Office Address | 74 WALLABOUT ST BROOKLYN, NY US |
| Practice Office Telephone | 2396289668 |
| Mailing Address | 15211 89TH AVE APT 309 JAMAICA, NY 114323768 US |
| Business Telephone | 2396289668 |
| Code | Practice | License No State |
|---|---|---|
| 363A00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant All Other Specialties & Provider Types Physician Assistant Physician Assistants & Advanced Practice Nursing Providers | 026992
NY |
| 06875603 | MEDICAID | NY |