Individual
NATHALLIE POKASUWAN
Active
Individual
NATHALLIE POKASUWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
265060
MA
207Q00000X
Family Medicine Physician
MD469516
PA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
323184
NY
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
323184
NY
Other
Enumeration date
09/07/2012
Last updated
08/02/2024
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