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1750434320
CHAISURAT SUVANNAVEJH
MOUNT VERNON, NY
NPI
1750434320
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: NY 119407)
Enumeration Date
2007-01-18
Last Update Date
2007-07-08
Business Address
Dr. CHAISURAT SUVANNAVEJH M.D.
559 GRAMATAN AVE
MOUNT VERNON, NY 10552-2155
Phone number: 914-668-8601
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Mailing Address
Dr. CHAISURAT SUVANNAVEJH M.D.
559 GRAMATAN AVE
MOUNT VERNON, NY 10552-2155
Phone number: 914-668-8601
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