Individual provider · Type 1 NPI

Phuong Ngan Nguyen Ba, MD

Student in an Organized Health Care Education/Training Program · Long Island City, NY

NPI number 1417897802 Active

Practice location

3611 21st St
Long Island City, NY 11106-4705

Call (718) 482-7772 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1417897802

Phuong Ngan Nguyen Ba, MD's National Provider Identifier is 1417897802, issued on Mar 30, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Long Island City, NY. The record was last updated on Mar 30, 2026.