National Provider Identifier
Jim K Inthanongsak
Jim K Inthanongsak is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Bath, NY and a listed phone number of (607) 664-4335.
Profile Overview
- NPI
- 1326474131
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- September 25, 2013
- Last Updated
- September 25, 2013
Practice Location
- 76 Veterans Ave
- Bath, NY 14810-0810
Phone: (607) 664-4335
Mailing Address
- 115 Orchard St
- Horseheads, NY 14845-2415
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1326474131
- Entity Type
- Individual
- Last Name
- Inthanongsak
- First Name
- Jim
- Middle Name
- K
- Name Prefix
- Mr.
- Mailing Street Address
- 115 Orchard St
- Mailing City
- Horseheads
- Mailing State
- NY
- Mailing ZIP Code
- 14845-2415
- Mailing Country
- US
- Practice Street Address
- 76 Veterans Ave
- Practice City
- Bath
- Practice State
- NY
- Practice ZIP Code
- 14810-0810
- Practice Country
- US
- Practice Phone
- (607) 664-4335
- Enumeration Date
- September 25, 2013
- Last Updated
- September 25, 2013
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)