Individual
SUTTHICHAI SAE-TIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
HEALTH SCIENCES TOWER LEVEL 17 RM 080 101 NICOLLS ROAD, STONY BROOK, NY 11794-1300
(631) 638-2695
(631) 444-7518
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(631) 444-7518
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
296437
NY
207RI0200X
Infectious Disease Physician
MT181140
PA
Other
Enumeration date
05/22/2007
Last updated
01/29/2019
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