Poovasit Klinoubol, DPM | |
12 North Seventh Avenue, Mount Vernon, NY 10550 | |
(646) 338-9832 | |
Not Available |
Full Name | Poovasit Klinoubol |
---|---|
Gender | Male |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 12 North Seventh Avenue, Mount Vernon, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205245024 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | 006854 (New York) | Primary |
Provider Name | Montefiore New Rochelle Hospital |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1295163244 PECOS PAC ID: 0345474706 Enrollment ID: O20150310001611 |
Provider Name | Montefiore Mount Vernon Hospital |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1013345065 PECOS PAC ID: 7810122231 Enrollment ID: O20150423000849 |
Mailing Address | Practice Location Address |
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Poovasit Klinoubol, DPM 40 E Sidney Ave Apt 7e, Mount Vernon, NY 10550-1419 Ph: (646) 338-9832 | Poovasit Klinoubol, DPM 12 North Seventh Avenue, Mount Vernon, NY 10550 Ph: (646) 338-9832 |
Dr. Dae Yong Lee, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 12 N 7th Ave, Mount Vernon, NY 10550 Phone: 914-664-8000 | |
Dr. Bijou M Dennis-nfor, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 11 W Prospect Ave Fl 3, Mount Vernon, NY 10550 Phone: 914-363-9299 Fax: 914-359-5461 | |
Dr. Mark G Mandato, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: 109 Chester St, Mount Vernon, NY 10552 Phone: 914-668-4101 | |
Jay Mermelstein, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 105 Stevens Ave, Suite 301, Mount Vernon, NY 10550 Phone: 914-699-1515 Fax: 914-699-2907 | |
Jonathan M Knee, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 514 Gramatan Ave, P4, Mount Vernon, NY 10552 Phone: 914-667-2225 Fax: 914-667-2224 | |
Dr. Marc A Gittleman, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 12 N 7th Ave, Mount Vernon, NY 10550 Phone: 914-664-8000 Fax: 914-664-2416 |