Thach, Justin Thai

Thach, Justin Thai is an sole proprietor health care provider with primary practice located at 1217 119Th St , College Point NY 11356-1648. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Thach, Justin Thai can be contacted via phone (646) 898-7446.

Contact Information

Primary practice address
1217 119Th St College Point NY 11356-1648
Phone: (646) 898-7446
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 012085 New York

Profile Details

NPI number 1558558395
LBN Legal business name Thach, Justin Thai
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2007
Last updated Dec 9th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers