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

Phyu Phyu Soe, AGACNP

Individual provider Acute Care Nurse Practitioner · NPI 1376991943

Phyu Phyu Soe, AGACNP is a Nurse Practitioner in Mineola, New York. Qualified in 2015, 11 years ago. Practices with New York University, a 5,884-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
11
Licensed in
NY
In the registry since
2016
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Practice location Address checks out

120 Mineola Blvd
Mineola, NY 11501-4064
Phone: (212) 263-5676
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence F430951-1 (NY)

Record details

NPI number1376991943
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP
Sole proprietorNo
NPI enumeratedMay 24, 2016
Last updated in NPPESMarch 23, 2021
Certification dateMarch 23, 2021
Mailing address120 Mineola Blvd, Mineola, NY 11501-4064

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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