MEDICARE: DR. DONALD CHRISTOPHER ENOCH M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	179300	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447252663
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DONALD CHRISTOPHER ENOCH M.D.

Provider Business Mailing Address
First Line	:	2649 STRANG BLVD STE 304
Second Line	:
City	:	YORKTOWN HEIGHTS
State	:	NY
Zip	:	10598-2938
Country	:	US
Telephone Number	:	914-739-0087
Fax Number	:	914-737-1714

Provider Business Practice Location Address
First Line	:	334 UNDERHILL AVE
Second Line	:	STE 5A
City	:	YORKTOWN HEIGHTS
State	:	NY
Zip	:	10598-4556
Country	:	US
Telephone Number	:	914-243-4780
Fax Number	:	914-243-4783

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	12/20/2022

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