| Somsak Bhitiyakul, M.d., P.c. | |
|
368 Broadway Suite 201 Kingston NY 12401-5160 | |
| (845) 339-5811 | |
| (845) 339-0708 |
| Full Name | Somsak Bhitiyakul, M.d., P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 368 Broadway, Kingston, New York |
| Authorized Official Name and Position | Somsak Bhitiyakul (OWNER) |
| Authorized Official Contact | 8453395811 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Somsak Bhitiyakul, M.d., P.c. 368 Broadway Suite 201 Kingston NY 12401-5160 Ph: (845) 339-5811 | Somsak Bhitiyakul, M.d., P.c. 368 Broadway Suite 201 Kingston NY 12401-5160 Ph: (845) 339-5811 |
| NPI Number | 1174628945 |
|---|---|
| Provider Enumeration Date | 09/14/2006 |
| Last Update Date | 03/13/2008 |
| Medicare PECOS PAC ID | 3971684325 |
|---|---|
| Medicare Enrollment ID | O20080111000369 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174628945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 224184 (New York) | Primary |
| 207RN0300X | Internal Medicine - Nephrology | 111158 (New York) | Secondary |
| Provider Name | Somsak Bhitiyakul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366547663 PECOS PAC ID: 8123118858 Enrollment ID: I20071219000295 |
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