Bunyavanich, Sanga

Bunyavanich, Sanga is an individual health care provider with primary practice located at 6200 Beach Channel Dr , Arverne NY 11692-1409. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Bunyavanich, Sanga can be contacted via phone (718) 945-7150.

Contact Information

Primary practice address
6200 Beach Channel Dr Arverne NY 11692-1409
Phone: (718) 945-7150
Fax: (718) 663-6133
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 114997 New York
Allopathic & Osteopathic Physicians / General Practice 208D00000X 114997 New York

Profile Details

NPI number 1992096259
LBN Legal business name Bunyavanich, Sanga
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2011
Last updated Feb 20th, 2013 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992096259 NPPES
New York MEDICAID 00816440

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