Dr Boonlua Ratanawongsa, MD | |
2223 W State St, Suite 107, Olean, NY 14760-1938 | |
(716) 373-0444 | |
(716) 373-5031 |
Full Name | Dr Boonlua Ratanawongsa |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Location | 2223 W State St, Olean, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619047917 | NPI | - | NPPES |
00590010 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 118639-1 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Boonlua Ratanawongsa, MD 2223 W State St, Suite 107, Olean, NY 14760-1938 Ph: (716) 373-0444 | Dr Boonlua Ratanawongsa, MD 2223 W State St, Suite 107, Olean, NY 14760-1938 Ph: (716) 373-0444 |
David W Bailey, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 2216 W State St, Olean, NY 14760 Phone: 716-373-0991 Fax: 716-373-0992 | |
Dr. Abdal Salam H Alwan, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 2223 W State St, Olean, NY 14760 Phone: 716-372-7515 Fax: 716-372-7541 |