Individual ProviderHaidang Dang NguyenPediatricsAllopathic & Osteopathic PhysiciansPractice Address330 W 58th St Ste 414, New York, NY 10019-1819(212) 624-0220PECOS EnrollmentBased on the most recent information from CMS, provider Haidang Dang Nguyen does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1265069470Provider TypeIndividualFull NameNguyen, Haidang DangTitleDr.CredentialMDGenderMaleSole ProprietorYesEnumeration Date3/26/2020Last Updated8/26/2024Contact InformationPractice LocationPractice Address330 W 58th St Ste 414, New York, NY 10019-1819Phone(212) 624-0220FaxUnlisted FaxMailing LocationMailing Address330 W 58th St Ste 414, New York, NY 10019-1819Phone(212) 624-0220FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208000000XPrimaryDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicense319088-01New YorkCode208000000XDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicense25MA12384900New Jersey