Individual
KHIN M MYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
68 HARRIS BUSHVILLE RD, MONTICELLO, NY 12701-3027
(845) 794-3300
(845) 794-5202
Mailing address
20 GRAND STREET, 3RD FL, WARWICK, NY 10990-1035
(845) 987-3901
(845) 987-5979
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
1806971
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01191579
—
NY
Enumeration date
10/06/2006
Last updated
06/16/2016
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