Supranee Prombanthoa is a Physician Assistant based in East Meadow, NY. Supranee Prombanthoa practices in East Meadow, NY and has the professional credentials of PA. The NPI Number for Supranee Prombanthoa is 1942442223 and holds a License No. 012965 (New York).
The current practice location address for Supranee Prombanthoa is 2201 Hempstead Tpke, East Meadow, NY and can be reached out via phone at 516-572-6501 and via fax at 516-572-5609.
Identifier | Type | State | Issuer |
---|---|---|---|
012965 | 01 | NY | NYS LICENSE NUMBER |
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