Individual
DR. VEERAWAT PHONGTANKUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-7000
Mailing address
575 LEXINGTON AVE, NEW YORK, NY 10022-6102
(212) 746-7000
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
273936
NY
Other
Enumeration date
06/05/2009
Last updated
05/23/2014
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