Individual
SASIS SIRIKANJANAPONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 780-3634
Mailing address
189 SCHERMERHORN ST APT 3A, BROOKLYN, NY 11201-6097
(917) 943-6997
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
277589
NY
282N00000X
General Acute Care Hospital
277589
NY
Other
Enumeration date
05/14/2015
Last updated
10/11/2023
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