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Contact Information

WITTAYA PAYACKAPAN MD. PC
365 BROADWAY
SUITE #5
AMITYVILLE, NY11743
 Phone: 631-842-6626
 Fax: 631-842-6609
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for WITTAYA PAYACKAPAN MD PC · (Female)

NPI # 1629210950
Status Active
Credentials
Entity Individual
Enumeration date 04/01/2009
Last updated 04/01/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY Medicaid 00349615
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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