| Sommai Bunyavanich | |
|
6200 Beach Channel Dr Arverne NY 11692-1409 | |
| (718) 945-7150 | |
| Not Available |
| Full Name | Sommai Bunyavanich |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 6200 Beach Channel Dr, Arverne, New York |
| Authorized Official Name and Position | Sommai Bunyavanich (ATTENDING) |
| Authorized Official Contact | 7189457150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sommai Bunyavanich 6200 Beach Channel Dr Arverne NY 11692-1409 Ph: (718) 945-7150 | Sommai Bunyavanich 6200 Beach Channel Dr Arverne NY 11692-1409 Ph: (718) 945-7150 |
| NPI Number | 1386704989 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 02/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386704989 | NPI | - | NPPES |
| 00527977 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 117347 (New York) | Primary |
Joseph P. Addabbo Family Health Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6200 Beach Channel Dr, Arverne, NY 11692 Phone: 718-945-7150 Fax: 718-942-2596 | |
Joseph P. Addabbo Family Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6200 Beach Channel Drive, Arverne, NY 11692 Phone: 718-945-7150 Fax: 718-945-2596 |