Terry Phan is a Nutritionist in Albany, New York. Terry Phan practices all healthcare services and medical treatments related to Nutritionist. The NPI Number for Terry Phan is 1811087554. The last update date is 2012-12-17.
Terry Phan's current location address is 113 Holland Ave, Albany, New York. You can contact this provider via phone number 5186266868 and fax number 5186265678. The mailing address for Terry Phan is 113 Holland Ave, Albany, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Terry Phan |
|---|---|
| Address | 113 Holland Ave, Albany, New York |
| Phone Number | 5186266868 |
| Fax Number | 5186265678 |
| Sole Proprietor | N |
| Credentials | NUTRITIONI |
NPI Number Detail
| NPI Number | 1811087554 |
|---|---|
| Provider Enumeration Date | 2006-10-13 |
| Last Updated Date | 2012-12-17 |
Provider Mailing Address Detail
| Address | 113 Holland Ave |
|---|---|
| City | Albany |
| State | New York (NY) |
| Post Code | 122083410 |
| Phone Number | 5186266868 |
| Fax Number | 5186265678 |
Provider's Primary Taxonomy Detail
| Speciality | Nutritionist |
|---|---|
| Taxonomy | 133N00000X |
| Licence No | 5564 |
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Definition: A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5561 | NY | LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Terry Phan by the Centers for Medicare & Medicaid Services?
The Terry Phan has been assigned the NPI (National Provider Identifier) 1811087554. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Terry Phan is physically located?
The Terry Phan is situated at the following address: 113 Holland Ave, Albany, NY 122083410.
What is Terry Phan's specialized field of practice, and what is the corresponding taxonomy classification code?
The Terry Phan's area of specialization is Nutritionist, and the corresponding taxonomy code that categorizes this field of practice is 133N00000X.
On what date was the 1811087554 assigned to Terry Phan?
The Terry Phan was issued its 1811087554 on 2006-10-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Terry Phan most recently updated?
The details pertaining to the Terry Phan, including its address, specialty, and other relevant information, were last refreshed on 2012-12-17.