- Practice location
- 1 Theall RD, Rye, NY 10580-1404
- Phone
- 914-848-8800
- Fax
- 914-682-6403
- Last updated
- October 16, 2013
John S Ettenson is an Ophthalmology based in Rye, NY. John S Ettenson practices in Rye, NY and has the professional credentials of MD. The NPI Number for John S Ettenson is 1396714820 and holds a License No. 174308-1 (NY). The current practice location address for John S Ettenson is 1 Theall RD, Rye, NY 10580-1404 and can be reached out via phone at 914-848-8800 and via fax at 914-682-6403.
Provider Profile Details
- NPI Number
- 1396714820
- Provider Name
- John S Ettenson
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1 Theall RD, Rye, NY 10580-1404
- Phone Number
- 914-848-8800
- Fax Number
- 914-682-6403
- Primary Taxonomy
- Ophthalmology · 207W00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 16, 2006
- Last Update Date
- October 16, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Theall RD
Rye, NY 10580-1404 - City
- Rye
- State
- New York
- Zip
- 10580-1404
- Phone Number
- 914-848-8800
- Fax Number
- 914-682-6403
Provider Business Mailing Address Details
- Address
- 210 Westchester Ave
White Plains, NY 10604-2901 - City
- White Plains
- State
- NY
- Zip
- 10604-2901
- Phone Number
- 914-681-3146
- Fax Number
- 914-682-6403
License Information
- License Number (1)
- 174308-1
- License State (1)
- NY
- Taxonomy (1)
- Ophthalmology · 207W00000X · Primary
- License Number (2)
- 041999
- License State (2)
- CT
- Taxonomy (2)
- Ophthalmology · 207W00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Ophthalmology providers near Rye, NY
View all Ophthalmology providers in Rye →Frequently Asked Questions
What is the NPI number of Dr. John S Ettenson, MD?
The NPI number of Dr. John S Ettenson, MD is 1396714820. It was assigned on March 16, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. John S Ettenson, MD?
Dr. John S Ettenson, MD is registered under the primary taxonomy Ophthalmology (code 207W00000X), licensed in NY under license number 174308-1.
Where does Dr. John S Ettenson, MD practice?
The practice location is 1 Theall RD, Rye, NY 10580-1404. The office can be reached at 914-848-8800 (phone) or 914-682-6403 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396714820 directly on the NPPES registry website.