Individual
PANUS ROMSAITONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9876 QUEENS BLVD, REGO PARK, NY 11374-4511
(718) 897-0300
(718) 897-3330
Mailing address
440 W BAY DR, LONG BEACH, NY 11561-1838
(718) 896-5255
(718) 896-5270
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
209009
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01914878
—
NY
Enumeration date
07/01/2006
Last updated
04/01/2009
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