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PETER A KECHEJIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD.

Contact information

Practice address
994 WEST JERICHO TURNPIKE, STE. 104, SMITHTOWN, NY 11787-3211
(631) 543-1440
(631) 543-1930
Mailing address
994 WEST JERICHO TURNPIKE, STE. 104, SMITHTOWN, NY 11787-3211
(631) 543-1440
(631) 543-1930

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
197100
NY
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
197100
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
197100
NY
208VP0000X
Pain Medicine Physician
197100
NY
208VP0014X
Interventional Pain Medicine Physician
197100
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01521140
NY
Enumeration date
07/21/2005
Last updated
03/26/2013
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