Individual
ETHAN ALAN SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 WESTCHESTER AVENUE, STE S-614, WESTCHESTER ANESTHESIOLOGISTS, PPC, RYE BROOK, NY 10573
(914) 428-5454
Mailing address
800 WESTCHESTER AVENUE, STE S-614, WESTCHESTER ANESTHESIOLOGISTS, PPC, RYE BROOK, NY 10573
(914) 428-5454
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
256872-1
NY
Other
Enumeration date
02/26/2007
Last updated
12/26/2012
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