Doctor Name: | MRS. KANJANAR PARUCHABUTR |
NPI Number: | 1548465081 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 4849889 |
Business Practice Address: | 63 Walnut Rd Inwood, NY - 110961117 |
Business Phone Number: | 5163712635 |
Business Fax Number: | |
Mailing Address: | 162 Collins Ave, WILLISTON PARK |
State: | NY |
Postal Code: | 115961612 |
Phone Number: | 5162946968 |
Fax Number: | |
NPI Enumeration Date: | 06/15/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WS0200X |
License Number: | 4849889 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | School |
Taxonomy Definition: |