Organization
SOMMAI BUNYAVANICH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOMMAI BUNYAVANICH M.D. (ATTENDING)
(718) 945-7150
Entity
Organization
Contact information
Practice address
6200 BEACH CHANNEL DR, ARVERNE, NY 11692-1409
(718) 945-7150
Mailing address
6200 BEACH CHANNEL DR, ARVERNE, NY 11692-1409
(718) 945-7150
(718) 318-4809
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
117347
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00527977
—
NY
Enumeration date
12/12/2006
Last updated
02/19/2013
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