PUNYADECH PHOTANGTHAM

NEW YORK, NY
NPI1083700926
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: NY  211187)
Enumeration Date2006-10-05
Last Update Date2015-12-02
Business Address
-- PUNYADECH PHOTANGTHAM MD
3875 BROADWAY UNIT B
NEW YORK, NY 10032-1567
Phone number: 212-543-3110
Mailing Address
-- PUNYADECH PHOTANGTHAM MD
125 W 56TH ST #2B
NEW YORK, NY 10019-3807
Phone number: 212-247-7039
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