Individual
DR. EVELIO ECHENIQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14204 BAYSIDE AVE STE 2L, FLUSHING, NY 11354-2300
(718) 762-6640
(718) 762-6635
Mailing address
14204 BAYSIDE AVE STE 2L, FLUSHING, NY 11354-2300
(718) 762-6640
(718) 762-6635
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
207R00000X
Internal Medicine Physician
Primary
212182
NY
Other
Enumeration date
05/19/2006
Last updated
12/09/2013
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