Doctor Name: | DR. ETHAN L GUNDECK |
NPI Number: | 1003889924 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 235596 |
Business Practice Address: | 200 Westage Business Ctr Suite 111 Fishkill, NY - 125242264 |
Business Phone Number: | 8458979760 |
Business Fax Number: | 8458963602 |
Mailing Address: | 1 Columbia St, Suite 200 POUGHKEEPSIE |
State: | NY |
Postal Code: | 126013923 |
Phone Number: | 8454731188 |
Fax Number: | 8454730896 |
NPI Enumeration Date: | 02/10/2006 |
NPI Last Update Date: | 09/30/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RC0000X |
License Number: | 235596 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Cardiovascular Disease |
Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |