Ungsunan, Pituck
Ungsunan, Pituck is an sole proprietor health care provider with primary practice located at 1650 Selwyn Ave , Bronx NY 10457-7626. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Ungsunan, Pituck can be contacted via phone (718) 177-6601.Contact Information
Primary practice address
1650 Selwyn Ave
Bronx NY 10457-7626
Phone: (718) 177-6601
Fax: (718) 960-1230
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 121878 | New York |
Profile Details
| NPI number | 1689753543 |
|---|---|
| LBN Legal business name | Ungsunan, Pituck |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 3rd, 2006 |
| Last updated | Apr 8th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689753543 | NPPES |
| New York | MEDICAID | 00229112 |
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