Individual
ANA PATRICIA ECHEVERRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 BEACH RD STE 3, FAIRFIELD, CT 06824-6668
(203) 255-2340
(203) 255-0619
Mailing address
2 1/2 DEARFIELD DR, SUITE 101, GREENWICH, CT 06831-5335
(203) 994-6547
(914) 939-5696
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
042666
CT
207R00000X
Internal Medicine Physician
208337
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042666
CT LICENSE
CT
01
—
2961790415
PECOS PAC ID
CT
01
—
CSP.0038698
CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
CT
01
—
I20161017000301
ENROLLMENT ID
CT
Enumeration date
12/13/2006
Last updated
05/22/2023
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