Individual provider · Type 1 NPI

Panisara Fangsaard

Student in an Organized Health Care Education/Training Program · Cooperstown, NY

NPI number 1336827104 Active

Practice location

1 Atwell Street, Office Of Medical Education
Cooperstown, NY 13326

Call (607) 547-3456 Map

Mailing address

25 Chestnut Street, South Apartment
Cooperstown, NY 13326

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1336827104

Panisara Fangsaard's National Provider Identifier is 1336827104, issued on Jul 10, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Cooperstown, NY. The record was last updated on Jul 10, 2023.