Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0216X | Pediatric Rheumatologist | 144443 | NY |
N | 2080P0216X | Pediatric Rheumatologist | 35.135356 | OH |
NPI | 1821061490 |
---|---|
Provider Name | Dr. Andrew H Eichenfield |
First Address | New York, NY 10128-5136 |
Second Address | Cleveland, OH 44106 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2006 |
Last Update Date | 29/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01151880 | (05) | NY |
B39918 | (02) | NY |