| NPI | 1174628945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOMSAK BHITIYAKUL Owner 845-339-5811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 224184) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NY 111158) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2008-03-13 |