Provider Demographics
NPI:1861237380
Name:KYAW, AUNG MYA (SERVICE PROVIDER)
Entity type:Individual
Prefix:
First Name:AUNG
Middle Name:MYA
Last Name:KYAW
Suffix:
Gender:M
Credentials:SERVICE PROVIDER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:418 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12207-2922
Mailing Address - Country:US
Mailing Address - Phone:585-504-9870
Mailing Address - Fax:
Practice Address - Street 1:11 FAXTON ST
Practice Address - Street 2:
Practice Address - City:UTICA
Practice Address - State:NY
Practice Address - Zip Code:13501-4707
Practice Address - Country:US
Practice Address - Phone:585-504-9870
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-26
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY342000000X342000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company