Individual
VICHAI LOTONGKHUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
361 STOCKHOLM ST, BROOKLYN, NY 11237-4025
(718) 381-2121
(718) 497-0740
Mailing address
361 STOCKHOLM ST, BROOKLYN, NY 11237-4025
(718) 381-2121
(718) 497-0740
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
127806
NY
207RC0000X
Cardiovascular Disease Physician
Primary
127806
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00237334
—
NY
01
—
P418016
OXFORD
NY
Enumeration date
05/31/2006
Last updated
01/05/2010
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