Individual
MONGKAE SIRIPORNSAWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
601 ELMWOOD AVENUE BOX PSYCH, ROCHESTER, NY 14642-0001
(585) 275-4501
Mailing address
601 ELMWOOD AVENUE BOX PSYCH, ROCHESTER, NY 14642-0001
(585) 275-4501
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
289399
NY
2084P0804X
Child & Adolescent Psychiatry Physician
289399
NY
390200000X
Student in an Organized Health Care Education/Training Program
4301095234
MI
Other
Enumeration date
07/08/2009
Last updated
07/06/2023
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