Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 278181 | NY |
NPI | 1013236900 |
---|---|
Provider Name | Dr. Chinedum Steven Enyinna |
First Address | Mount Kisco, NY 10549-2553 |
Second Address | Mount Kisco, NY 10549-2553 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2010 |
Last Update Date | 09/06/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
04071523 | (05) | NY |