Individual
PONCHAI KEMAWIKASIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
234 E 149TH ST, BRONX, NY 10451-5504
(718) 579-5619
(718) 579-5457
Mailing address
234 E 149TH ST, BRONX, NY 10451-5504
(718) 579-5619
(718) 579-5457
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
134195
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00278560
—
NY
Enumeration date
11/15/2006
Last updated
07/08/2007
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