National Provider Identifier
Tangneka Miracle Nguyen, PA-C
Tangneka Miracle Nguyen, PA-C is listed in the NPPES registry with a primary specialty of Dermatology Physician in Elmira, NY and a listed phone number of (607) 796-5900.
Profile Overview
- NPI
- 1649155045
- Provider Type
- Individual
- Primary Specialty
- Dermatology Physician
- Enumeration Date
- August 06, 2025
- Last Updated
- August 06, 2025
Practice Location
- 950 County Road 64 Ste 100
- Elmira, NY 14903-9711
Phone: (607) 796-5900
Mailing Address
- 100 W Water St Apt 405
- Elmira, NY 14901-3011
Specialties
- Dermatology Physician (207N00000X)
Full Record
- NPI
- 1649155045
- Entity Type
- Individual
- Last Name
- Nguyen
- First Name
- Tangneka
- Middle Name
- Miracle
- Credential
- PA-C
- Mailing Street Address
- 100 W Water St Apt 405
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14901-3011
- Mailing Country
- US
- Mailing Phone
- (717) 377-5392
- Practice Street Address
- 950 County Road 64 Ste 100
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14903-9711
- Practice Country
- US
- Practice Phone
- (607) 796-5900
- Enumeration Date
- August 06, 2025
- Last Updated
- August 06, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- August 06, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Dermatology Physician (207N00000X)