Individual
DR. CHAISURAT SUVANNAVEJH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
559 GRAMATAN AVE, MOUNT VERNON, NY 10552-2155
(914) 668-8601
Mailing address
559 GRAMATAN AVE, MOUNT VERNON, NY 10552-2155
(914) 668-8601
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
119407
NY
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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