SOMMAI BUNYAVANICH NPI 1386704989

NPI Information

NPI: 1386704989
Provider Name: SOMMAI BUNYAVANICH
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
6200 BEACH CHANNEL DR
ARVERNE, NY
ZIP 11692
Phone: (718) 945-7150
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SOMMAI BUNYAVANICH is a primary care clinic center in Arverne, NY. SOMMAI BUNYAVANICH NPI is 1386704989. The provider is registered as an organization entity type.

The provider's business location address is:

6200 BEACH CHANNEL DR
ARVERNE, NY
ZIP 11692-409
Phone: (718) 945-7150

The provider's authorized official is Sommai Bunyavanich .
The authorized official title is Attending and has the following contact phone number (718) 945-7150.

The enumeration date for this NPI number is 12/12/2006 and was last updated on 2/19/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	117347	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00527977	MEDICAID	NEW YORK
2	17410	MEDICARE UPIN	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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