POOVASIT KLINOUBOL DPM
NPI 1205245024
Podiatrist - Foot & Ankle Surgery in Mount Vernon, NY

Q: What is Poovasit Klinoubol's NPI number?

The NPI number for Poovasit Klinoubol is 1205245024. It was assigned to this individual provider in the NPPES registry on August 6, 2014.

Q: What is Poovasit Klinoubol's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Active since August 06, 2014

12 NORTH SEVENTH AVENUE, MOUNT VERNON, NY 10550(646) 338-9832 Get Directions Write a Review

NPPES record last updated: December 23, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 23, 2018, Jul 12, 2017, Apr 14, 2017 (3 updates tracked since 2017).

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About Poovasit Klinoubol Dpm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

POOVASIT KLINOUBOL DPM (NPI 1205245024) is an individual foot & ankle surgery provider in Mount Vernon, New York, licensed in New York (006854) and active in the NPI registry since August 2014.

NPPES Registry Identity

NPI1205245024

Entity TypeIndividualMale

Primary Taxonomy213ES0103X

Provider Legal NamePOOVASIT KLINOUBOLCredential: DPM

Location Address12 NORTH SEVENTH AVENUEMount Vernon, NY 10550

Mailing Address40 E Sidney Ave Apt 7eMount Vernon, NY 10550-1419 · (646) 338-9832

Phone(646) 338-9832

Sole ProprietorYes

Enumeration DateAugust 6, 2014

Last NPPES UpdateDecember 23, 20183 updates tracked since enumeration

✔ NPI 1205245024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

License✔ Licensed in NY · 006854

12 NORTH SEVENTH AVENUE, Mount Vernon, NY 10550

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. SONIA ESTELLE MORALES L.C.S.W

Social Worker (Clinical)

12 NORTH SEVENTH AVENUE
MT. VERNON, NY 10550

Westchester County (914) 361-7241

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Poovasit Klinoubol's NPI number?

The NPI number for Poovasit Klinoubol is 1205245024. It was assigned to this individual provider in the NPPES registry on August 6, 2014.

Where is Poovasit Klinoubol located?

Poovasit Klinoubol practices at 12 North Seventh Avenue, Mount Vernon, NY 10550. The listed phone number is (646) 338-9832.

What is Poovasit Klinoubol's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Poovasit Klinoubol was last updated on December 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.