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Diane M Ettinger
Specialist in Bay Shore, New York
NPI 1770724403

Diane M Ettinger is a Specialist based in Bay Shore, NY. Diane M Ettinger practices in Bay Shore, NY. The NPI Number for Diane M Ettinger is 1770724403 and holds a License No. 008919-1 (New York).

The current practice location address for Diane M Ettinger is 23 Hemlock Ln, Bay Shore, NY and can be reached out via phone at 631-495-8460.

Location: 23 Hemlock Ln, Bay Shore, NY, 11706-7810
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770724403
Provider Name
Diane M Ettinger
Credential
Provider Entity Type
Individual
Gender
Female
Address
23 Hemlock Ln, Bay Shore, NY, 11706-7810
Phone Number
631-495-8460
Fax Number
Provider Enumeration Date
03/10/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
23 Hemlock Ln
City
Bay Shore
State
New York
Zip
11706-7810
Phone Number
631-495-8460
Fax Number
person
Provider Business Mailing Address Details
Address
23 Hemlock Ln
City
Bay Shore
State
New York
Zip
11706-7810
Phone Number
631-495-8460
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
008919-1 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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