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Richard Pongvitayapanu, MD

NPI 1518499805 · on the registry since 2017

Practice

Address
600 Main St Ste A
Center Moriches, NY 11934
Phone
(631) 444-5437
Fax
(631) 444-7865
Clinicians at this address
3

Registry record

Primary taxonomy
208000000X
208000000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-05-01

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