Wittaya Payackapan Md. Pc

LBN: Wittaya Payackapan Md. Pc
Wittaya Payackapan Md. Pc is an health care organization with primary practice located at 365 Broadway Suite #5, Amityville NY 11743. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as the primary health care specialty. Wittaya Payackapan Md. Pc can be contacted via phone (631) 842-6626, or through Payackapan, Wittaya via phone (631) 842-6626.

Contact Information

Primary practice address
365 Broadway Suite #5 Amityville NY 11743
Phone: (631) 842-6626
Fax: (631) 842-6609
Website:
Map and Directions
Authorized official contact:
Name: Payackapan, Wittaya Doctor of Medicine (MD)
Phone: (631) 842-6626

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X

Profile Details

NPI number 1629210950
LBN Legal business name Wittaya Payackapan Md. Pc
DBA Doing business as
Authorized official Payackapan, Wittaya Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 1st, 2009
Last updated Apr 1st, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629210950 NPPES
New York MEDICAID 00349615

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