Individual
DR. MYO THANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8605 51ST AVE, ELMHURST, NY 11373-3921
(718) 361-6038
(718) 760-0799
Mailing address
4295 HAMPTON ST, ELMHURST, NY 11373-3460
(718) 361-6038
(718) 760-0799
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
212485
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02190178
—
NY
Enumeration date
07/04/2005
Last updated
07/30/2010
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