MEDICARE: DR. KAM POON, M.D., P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	175586	NY

General Provider Information

NPI Number	:	1932374931
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. KAM POON, M.D., P.C.

Provider Business Mailing Address
First Line	:	8504 21ST AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11214-3208
Country	:	US
Telephone Number	:	718-946-6730
Fax Number	:	718-946-7016

Provider Business Practice Location Address
First Line	:	8504 21ST AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11214-3208
Country	:	US
Telephone Number	:	718-946-6730
Fax Number	:	718-946-7016

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KAM CHOI POON
Credential	:	MD
Telephone Number	:	718-946-6730

Provider Enumeration Date	:	04/30/2008
Last Update Date	:	04/30/2008

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