Individual
DR. WITTAYA PAYACKAPAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
365 BROADWAY, AMITYVILLE, NY 11701-2716
(631) 842-6626
(631) 842-6609
Mailing address
365 BROADWAY, AMITYVILLE, NY 11701-2716
(631) 842-6626
(631) 842-6609
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
121997
NY
Other
Enumeration date
09/13/2005
Last updated
07/08/2007
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