Individual
VATCHARAPAN UMPAICHITRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
211-11 NORTHERN BLVD, 2ND FLOOR PREMIER HEALTHCARE, BAYSIDE, NY 11361-3241
(718) 705-1000
Mailing address
211-11 NORTHERN BLVD, 2ND FLOOR PREMIER HEALTHCARE, BAYSIDE, NY 11361
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
001705
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02349957
—
NY
Enumeration date
06/04/2006
Last updated
03/04/2011
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