Individual provider · Type 1 NPI

Dechaboon Changsirivathanathamrong, MD

Student in an Organized Health Care Education/Training Program · New York, NY

NPI number 1255678983 Active

Practice location

215 E 95th St, Apt. 22B
New York, NY 10128-4077

Call (212) 427-1540 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XP82725 (NY)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

46 other providers at this address

Other student in an organized health care education/training program providers in New York

See all in New York →

About NPI 1255678983

Dechaboon Changsirivathanathamrong, MD's National Provider Identifier is 1255678983, issued on Jan 15, 2013. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on Jan 15, 2013.