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Dr. Thuc Duy Phan, M.D.

Child & Adolescent Psychiatry Physician in Gouverneur, NY · enumerated 2011.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1205125291

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Registry record

Entity type Individual (Type 1)
Name Dr. Thuc Duy Phan
Credential M.D.
Sex Male
Practice address 28 William St, Gouverneur, NY, 13642
Phone (315) 287-2811
Enumeration date Mar 31, 2011
Last updated in NPPES Nov 16, 2021

Taxonomy & licenses

2084P0804X Child & Adolescent Psychiatry Physician Allopathic & Osteopathic Physicians · License R0297 (TX) Secondary
2084P0804X Child & Adolescent Psychiatry Physician Allopathic & Osteopathic Physicians · License 269123 (NY) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Thuc Phan practice?
The practice location on file with NPPES is in Gouverneur, NY. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Thuc Phan?
The National Provider Identifier (NPI) for Thuc Phan is 1205125291, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-11-16.