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Individual

JANEJIRA CHAIYASIT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AGNP

Contact information

Practice address
516 W 168TH ST FL 1, NEW YORK, NY 10032-4103
(212) 326-5705
(212) 342-0093
Mailing address
516 W 168TH ST FL 1, NEW YORK, NY 10032-4103
(212) 326-5705
(212) 342-0093

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
22 678653
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
30 307174
NY

Other

Enumeration date
03/06/2014
Last updated
01/19/2017
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