Most Relevant Information
Provider Data
| NPI Number: | 1003294737 |
| Provider Name: | SASIS SIRIKANJANAPONG |
| Entity Type: | Individual |
| Taxonomy Code: | 282N00000X |
| Specialty: | General Acute Care Hospital |
| License Number: | 277589 |
Most Important Dates
| Enumeration Date: | 05/14/2015 |
| Last Updated: | 10/11/2023 |
Provider Practice Location
506 6TH ST
BROOKLYN
NY
112153609
Practice Location Phone/Fax
| Phone: | 7187803634 |
| Fax: |
Provider Mailing Location
189 SCHERMERHORN ST APT 3A
BROOKLYN
NY
112016097
Provider Mailing Phone/Fax
| Phone: | 9179436997 |
| Fax: |