Individual
CHONLADA MOKRUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2715 30TH AVE, LONG ISLAND CITY, NY 11102-2445
(718) 932-0007
Mailing address
324 E 59TH ST APT 5A, NEW YORK, NY 10022-1549
(646) 354-0536
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
231662-1
NY
Other
Enumeration date
05/30/2006
Last updated
05/01/2008
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