Organization
PHOENIX MEDICAL OFFICE PLLC
Active
Organization
PHOENIX MEDICAL OFFICE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYAWT THANDAR AUNG (PRESIDENT)
(646) 899-5144
Entity
Organization
Contact information
Practice address
5223 VAN LOON ST, ELMHURST, NY 11373-4258
(646) 943-1588
Mailing address
19614 58TH AVE # 1F, FRESH MEADOWS, NY 11365-2306
(646) 899-5144
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
241558
NY
Other
Enumeration date
09/25/2013
Last updated
08/19/2026
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