DR. LAN PHUONG PHAM (NPI# 1104854983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104854983 |
| Entity Type | Individual |
| Full Name | DR. LAN PHUONG PHAM |
| Other Name | DR. LAN PHAM |
| Credential | M.D. |
| Practice Address |
3680 Hill Blvd Caremount Medical PC Jefferson Valley NY 10535-1500 |
| Mailing Address |
110 S Bedford Rd Caremount Medical PC Mount Kisco NY 10549-3446 |
| Practice Telephone | 9142411050 |
| Practice Fax Number | 9148644190 |
| Mailing Telephone | (914) 241-1050 |
| Mailing Fax Number | 9148644190 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2017-11-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 207363 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02235023 | 05 | |
| NY | MEDICARE PTAN | A400104767 | 01 |
| Street Address |
3680 HILL BLVD CAREMOUNT MEDICAL PC |
| City | JEFFERSON VALLEY |
| State | NY |
| Zip Code | 10535-1500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659376036 | Timothy J Siglock | Otolaryngology | 3680 Hill Blvd, Caremount Medical PC, Jefferson Valley, NY 10535-1500 | 2005-06-14 |
| 1215494349 | Sharona Daube | Physician Assistant | 3680 Hill Blvd, Jefferson Valley, NY 10535-1500 | 2019-02-25 |
| 1699162388 | Leonid Frenkel | Internal Medicine | 3680 Hill Blvd, Jefferson Valley, NY 10535-1500 | 2015-04-20 |
| 1043561251 | Courtney Emerson | Physician Assistant | 3680 Hill Blvd, Care Mount Medical PC, Jefferson Valley, NY 10535-1500 | 2012-09-27 |
| 1134446156 | Amy Amin Patil | Pediatrics | 3680 Hill Blvd, Jefferson Valley, NY 10535-1500 | 2010-04-29 |
| 1831329127 | Young Ho Han | Internal Medicine | 3680 Hill Blvd, Caremount Medical, PC, Jefferson Valley, NY 10535 | 2009-07-21 |
| 1255584728 | June Marie Sy | Physical Therapist | 3680 Hill Blvd, Caremount Medical, PC, Jefferson Valley, NY 10535 | 2008-10-28 |
| 1336281963 | William J Reed | Dermatology | 3680 Hill Blvd, Jefferson Valley, NY 10535-1500 | 2007-02-12 |
| 1215081096 | John Daniel Scinto | Allergy & Immunology | 3680 Hill Blvd, Caremount Medical PC, Jefferson Valley, NY 10535-1500 | 2007-01-22 |
| 1942361647 | William Daniel Fitzgibbon | Audiologist | 3680 Hill Blvd, Caremount Medical, PC, Jefferson Valley, NY 10535 | 2006-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568904589 | John Joseph Duff | Social Worker | 3630 Hill Blvd., Jefferson Valley, NY 10535 | 2016-11-08 |
| 1518419639 | Zoila Morell-okeefe | Registered Nurse | 3795 Nelson Avenue, #668, Jefferson Valley, NY 10535 | 2016-10-25 |
| 1790060424 | Jose Rafael Lugay | Dentist | 3654 Lee Blvd., Jefferson Valley, NY 10535 | 2011-10-13 |
| 1730462672 | Masooma Saba Zaidi | Dentist | 3654 Lee Blvd, Jefferson Valley, NY 10535 | 2011-09-27 |
| 1619291804 | Stacey Leigh Engelberg | Pharmacist | 3663 Hill Blvd, Jefferson Valley Pharmacy, Jefferson Valley, NY 10535 | 2010-03-17 |
| 1548402142 | Jefferson Valley Dental Associates, P.C. | Dentist | 3654 Lee Rd, Jefferson Valley, NY 10535 | 2009-03-27 |
| 1841318847 | Aleia Journez Codner | Speech-Language Pathologist | 3663 Lee Blvd, Jefferson Valley, NY 10535 | 2007-03-27 |
| 1033285879 | Frederick William Cich | Chiropractor | 691 East Main Street, Jefferson Valley, NY 10535 | 2006-11-24 |
| 1124107743 | Pilar M Verdesoto | Social Worker | 3651 Hill Blvd, Jefferson Valley, NY 10535 | 2006-11-03 |
| 1477653376 | Mark Robert Honig | Psychologist | 3630 Hill Boulevard, Suite 204, Jefferson Valley, NY 10535 | 2006-09-22 |
| Find all providers in zip 10535 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821607995 | Reginald Camillo Md Pllc | Ophthalmology | 7708 Broadway, Elmhurst, NY 11373-1927 | 2020-07-24 |
| 1366069510 | Rebecca Stein | Ophthalmology | 711 Stewart Ave Ste 160, Garden City, NY 11530-4700 | 2020-07-02 |
| 1548886260 | Bartow Ophthalmology Pllc | Ophthalmology | 2100 Bartow Ave Ste 208, Bronx, NY 10475-4614 | 2020-06-18 |
| 1407485139 | Amy L Kreisberg | Ophthalmology | 25 Byron Ln, Larchmont, NY 10538-1617 | 2020-04-04 |
| 1922634518 | Vision Vibrant Medicine Pllc | Ophthalmology | 837 59th St, Brooklyn, NY 11220-3611 | 2020-03-16 |
| 1710546270 | Ian Chan Md PC | Ophthalmology | 6410 8th Ave # 2a, Brooklyn, NY 11220-4720 | 2019-06-09 |
| 1598320038 | Mid-hudson Family Ophthalmology, Pllc | Ophthalmology | 75 Crystal Run Rd Ste 104a, Middletown, NY 10941-7003 | 2019-05-09 |
| 1144885070 | Nan Alison Sutter Hayworth | Ophthalmology | 214 Mclain St, Mount Kisco, NY 10549-4931 | 2019-05-06 |
| 1104383660 | Shani Golan | Ophthalmology | 325 E 64th St, New York, NY 10065-6709 | 2019-02-20 |
| 1205391224 | Gautam Kamthan Md PC | Ophthalmology | 250 E 39th St Apt 11g, New York, NY 10016-2178 | 2019-02-04 |
| Find all providers with the same taxonomy | ||||
| City | JEFFERSON VALLEY |
| Zip Code | 10535 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.