Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Thuc Duy Phan, MD

Individual provider Child & Adolescent Psychiatry Physician · NPI 1205125291

Dr. Thuc Duy Phan, MD is a Child & Adolescent Psychiatry Physician in Gouverneur, New York. Licensed in New York and Texas. Registered with an NPI since 2011.

Licensed in
NY, TX
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

28 William St
Gouverneur, NY 13642-1405
Phone: (315) 287-2811
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X · Licence 269123 (NY)
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X · Licence R0297 (TX)

Record details

NPI number1205125291
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 31, 2011
Last updated in NPPESNovember 16, 2021
Certification dateNovember 16, 2021
Mailing address514 Rozelle Ave, Sugar Land, TX 77498-3080