Individual
TANABOON BHUPHAIBOOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
790 PARK AVE, HUNTINGTON, NY 11743-4516
(631) 427-3700
(631) 427-1778
Mailing address
790 PARK AVE, HUNTINGTON, NY 11743-4516
(631) 427-3700
(631) 427-1778
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/16/2021
Last updated
11/16/2021
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