Dechaboon Changsirivathanathamrong, MD is a student in an organized health care education training program in New York, NY. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Dechaboon Changsirivathanathamrong, MD NPI is 1255678983. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
215 E 95TH ST
APT. 22B
NEW YORK, NY
ZIP 10128-077
Phone: (212) 427-1540
The enumeration date for this NPI number is 1/15/2013 and was last updated on 1/15/2013.