Terry Phan, Nutritionist
Nutritionist in Albany, NY. Individual provider (NPI-1).
NPI number1811087554
StatusActive
Last updated in NPPESDec 17, 2012
Details
- NPI
- 1811087554
- Entity type
- Individual (NPI-1)
- Name
- Terry Phan
- Credential
- Nutritionist
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 13, 2006
- Last updated
- Dec 17, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133N00000X | Nutritionist | 005564 | NY | Yes |
Practice location
113 Holland AvenueVa Hospital
Albany, NY 12208
Phone 518-626-6868 · Fax 518-626-5678
Mailing address
113 Holland AveAlbany, NY 12208-3410
Phone 518-626-6868 · Fax 518-626-5678
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