SearchNew York1041C0700X

Jim Inthanongsak

NPI 1326474131 · on the registry since 2013

Practice

Address
76 Veterans Ave
Bath, NY 14810
Phone
(607) 664-4335
Organisation at this address
Buffalo Vamc
Buffalo Vamc
Va Medical Center Bath Ny
Loyola Recovery Foundation, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
147

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-09-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York