Kechejian, Peter A

Kechejian, Peter A is an individual health care provider with primary practice located at 994 West Jericho Turnpike Ste. 104, Smithtown NY 11787-3211. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Kechejian, Peter A can be contacted via phone (631) 543-1440.

Contact Information

Primary practice address
994 West Jericho Turnpike Ste. 104 Smithtown NY 11787-3211
Phone: (631) 543-1440
Fax: (631) 543-1930
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 197100 New York
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 197100 New York
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 197100 New York
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 197100 New York
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 197100 New York

Profile Details

NPI number 1326047291
LBN Legal business name Kechejian, Peter A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated Mar 26th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326047291 NPPES
New York MEDICAID 01521140

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