Individual
DR. MARENA EUASHACHAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
13 PALMER AVE, EVERGREEN HEALTH CENTER, CORINTH, NY 12822-1145
(518) 654-6499
(518) 654-7303
Mailing address
100 PARK STREET, GLENS FALLS HOSPITAL - CREDENTIALING, GLENS FALLS, NY 12801
(518) 926-5924
(518) 926-6983
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
A271644
—
207Q00000X
Family Medicine Physician
Primary
271644
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04060555
—
NY
Enumeration date
05/31/2011
Last updated
02/10/2022
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