Individual provider · Type 1 NPI

Calvin Phung, FNP

Nurse Practitioner · New York, NY

NPI number 1902793607 Active

Practice location

525 East 68th St, Box 179
New York, NY 10065-4870

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X908627 (NY)
Nurse Practitioner Primary 363L00000X357137 (NY)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1902793607

Calvin Phung, FNP's National Provider Identifier is 1902793607, issued on Jun 24, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in New York, NY. The record was last updated on Jul 8, 2025.