National Provider Identifier
Trung Vu, PA
Trung Vu, PA is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Ithaca, NY and a listed phone number of (607) 274-3011.
Profile Overview
- NPI
- 1720804651
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- November 25, 2024
- Last Updated
- November 25, 2024
Practice Location
- 215 E State St
- Ithaca, NY 14850-5547
Phone: (607) 274-3011
Mailing Address
- 1458 Chili Ave
- Rochester, NY 14624-3263
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1720804651
- Entity Type
- Individual
- Last Name
- Vu
- First Name
- Trung
- Credential
- PA
- Provider Other Last Name
- Vu
- Provider Other First Name
- Joey
- Provider Other Credential Text
- PA
- Provider Other Last Name Type Code
- 2
- Mailing Street Address
- 1458 Chili Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14624-3263
- Mailing Country
- US
- Mailing Phone
- (585) 351-4733
- Practice Street Address
- 215 E State St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-5547
- Practice Country
- US
- Practice Phone
- (607) 274-3011
- Enumeration Date
- November 25, 2024
- Last Updated
- November 25, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- November 25, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)