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Individual

SOMSAK BHITIYAKUL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
368 BROADWAY, SUITE 201, KINGSTON, NY 12401-5160
(845) 339-5811
(845) 339-0708
Mailing address
368 BROADWAY, SUITE 201, KINGSTON, NY 12401-5160
(845) 339-5811
(845) 339-0708

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
111158
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00199179
NY
01
566191
INDIVIDUAL MEDICARE PIN
NY
Enumeration date
09/13/2006
Last updated
03/13/2008
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