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TIEN THI MY PHAN M.D.
NPI 1093382343
Student in an Organized Health Care Education/Training Program in New York, NY

Active since June 07, 2021
79-01 BROADWAY, A7-34 ELMHURST, NEW YORK, NY 11373(718) 334-2156 Get Directions Write a Review

NPPES record last updated: February 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 27, 2023, Jun 7, 2021 (2 updates tracked since 2021).

About Tien Thi My Phan M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIEN THI MY PHAN M.D. (NPI 1093382343) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1093382343
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameTIEN THI MY PHANCredential: M.D.
Location Address79-01 BROADWAY, A7-34 ELMHURSTNew York, NY 11373
Mailing Address79-01 Broadway, A7-34 ElmhurstNew York, NY 11373 · (718) 334-2156
Phone(718) 334-2156
Sole ProprietorNo
Enumeration DateJune 7, 2021
Last NPPES UpdateFebruary 27, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2023
✔ NPI 1093382343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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.
79-01 BROADWAY, New York, NY 11373
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHANA HOCHMAN AUD
Audiologist
79-01 BROADWAY
ELMHURST, NY 11373
Queens County (718) 334-1921
EKAETE ANIETIE EKPENYONG PHYSICIAN ASSISTANT
Physician Assistant
79-01 BROADWAY, ELMHURST HOSPITAL CENTER
ELMHURST, NY 11373
Queens County (718) 334-3556
AZFAR SHABBIR M.D.
Pediatrics (Neonatal-Perinatal Medicine)
79-01 BROADWAY, ROOM A1-9
ELMHURST, NY 11373
Queens County (718) 334-4952
MS. SHEUNG-CHI NG NP
Nurse Practitioner (Psychiatric/Mental Health)
79-01 BROADWAY, MANAGED CARE, D1-01
ELMHURST, NY 11373
Queens County (718) 334-1921
JOSE ALEJANDRO MOREIRA MUSA M.D.
Student in an Organized Health Care Education/Training Program
79-01 BROADWAY
QUEENS, NY 11373
Queens County (718) 334-2156
MS. CHIH-YUN LUO NP
Nurse Practitioner (Primary Care)
79-01 BROADWAY, D4 -54 CARDIOLOGY DEPT
ELMHURST, NY 11373
Queens County (718) 334-2508
MR. BARNEY CHOW LMSW
Social Worker
79-01 BROADWAY
ELMHURST, NY 11373
Queens County (718) 334-4000
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION
General Acute Care Hospital
79-01 BROADWAY
ELMHURST, NY 11373
Queens County (718) 334-4900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tien Phan's NPI number?

The NPI number for Tien Phan is 1093382343. It was assigned to this individual provider in the NPPES registry on June 7, 2021.

Where is Tien Phan located?

Tien Phan practices at 79-01 Broadway A7-34 Elmhurst, New York, NY 11373. The listed phone number is (718) 334-2156.

What is Tien Phan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Tien Phan was last updated on February 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.