Enzien, Ernest M

Enzien, Ernest M is an individual health care provider with primary practice located at 2 Empire Dr Ste 100 , Rensselaer NY 12144-5730. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Enzien, Ernest M can be contacted via phone (518) 475-9518.

Contact Information

Primary practice address
2 Empire Dr Ste 100 Rensselaer NY 12144-5730
Fax: (518) 286-4859
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 225801 New York

Profile Details

NPI number 1144302886
LBN Legal business name Enzien, Ernest M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2006
Last updated Jan 26th, 2024 - about last year

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 1144302886 NPPES
New York MEDICAID 02337951

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