Ethan L Gundeck MD

NPI 1003889924 - Internal Medicine - 207RC0000X

NPI Details
NPI 1003889924
Gender Male
Enumeration Date 02/10/2006
Last Updated 09/30/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
200 WESTAGE BUSINESS CTR
SUITE 111
FISHKILL NY, 12524-2264, US
Phone (845) 897-9760
Fax (845) 896-3602
Business Location
1 COLUMBIA ST
SUITE 200
POUGHKEEPSIE NY, 12601-3923, US
Phone (845) 473-1188
Fax (845) 473-0896
Toxanomy
Taxonomy Code 207RC0000X
License State New York
License Number 235596
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According to our database, Dr. Ethan L Gundeck MD NPI is 1003889924, taxonomy code is 207RC0000X and license number is 235596, license state is located at New York. Ethan L Gundeck MD physically located at 200 Westage Business Ctr, Fishkill NY, 12524-2264. NPI Number Ethan L Gundeck MD has the Individual type.

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1003889924 NPI number is provided on an as is basis without warranty of any kind. 1003889924 is maintained by the National Plan & Provider Enumeration System. The contents of Ethan L Gundeck MD are for informational purposes only.