Individual
SUGANDA PHALAKORNKUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7901 BROADWAY, ELMHURST HOSPITAL CENTER , RM B2-01, ELMHURST, NY 11373-1329
(718) 334-6023
(718) 334-6019
Mailing address
186-20 HENLEY ROAD, JAMAICA ESTATES, NY 11432
(718) 264-7481
(718) 334-6019
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
NYX0014701
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
NYX0014701
NY
207RP1001X
Pulmonary Disease Physician
NYSX0014701
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02218202
—
NY
Enumeration date
09/29/2006
Last updated
09/15/2008
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