WICHAE IM

ELMHURST, NY
NPI1558398214
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: NY  198358)
Enumeration Date2006-06-27
Last Update Date2007-12-10
Business Address
-- WICHAE IM MD
7901 BROADWAY ROOM A1-9
ELMHURST, NY 11373-1329
Phone number: 718-334-4952
Mailing Address
-- WICHAE IM MD
7901 BROADWAY ROOM A1-9
ELMHURST, NY 11373-1329
Phone number: 718-344-2600