KEN PONGTHORN WANITCHINDA

NEW YORK, NY
NPI1760016687
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: NY  342607)
Enumeration Date2020-02-29
Last Update Date2024-01-04
Business Address
Mr. KEN PONGTHORN WANITCHINDA FNP-C
423 E 23RD ST # 214S
NEW YORK, NY 10010-5011
Phone number: 212-686-7500
Mailing Address
Mr. KEN PONGTHORN WANITCHINDA FNP-C
423 E 23RD ST # 214S
NEW YORK, NY 10010-5011
Phone number: 212-686-7500