Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | 126069 | NY |
NPI | 1386683605 |
---|---|
Provider Name | Fukiat Ongseng |
First Address | New York, NY 10029-6574 |
Second Address | New York, NY 10003-4901 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2006 |
Last Update Date | 07/01/2015 |