Individual
DR. PITUCK UNGSUNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1650 SELWYN AVE, BRONX, NY 10457-7626
(718) 177-6601
(718) 960-1230
Mailing address
54 CUMBERLAND DR, YONKERS, NY 10704-3526
(914) 237-2385
(914) 237-2385
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
121878
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00229112
—
NY
Enumeration date
11/03/2006
Last updated
04/08/2015
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