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1982699351
WITTAYA PAYACKAPAN
AMITYVILLE, NY
NPI
1982699351
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: NY 121997)
Enumeration Date
2005-09-13
Last Update Date
2007-07-08
Business Address
Dr. WITTAYA PAYACKAPAN MD
365 BROADWAY
AMITYVILLE, NY 11701-2716
Phone number: 631-842-6626
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Mailing Address
Dr. WITTAYA PAYACKAPAN MD
365 BROADWAY
AMITYVILLE, NY 11701-2716
Phone number: 631-842-6626
Copy
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