Individual
POOVASIT KLINOUBOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
12 NORTH SEVENTH AVENUE, MOUNT VERNON, NY 10550
(646) 338-9832
Mailing address
40 E SIDNEY AVE APT 7E, MOUNT VERNON, NY 10550-1419
(646) 338-9832
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
006854
NY
Other
Enumeration date
08/06/2014
Last updated
12/23/2018
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