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Contact Information

POOVASIT KLINOUBOL, DPM
12 NORTH SEVENTH AVENUE
MOUNT VERNON, NY10550
 Phone: 646-338-9832
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for POOVASIT KLINOUBOL · (Male)

NPI Number 1205245024
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 08/06/2014
Last updated 12/23/2018 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 006854
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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