Etelson, Debra H
Etelson, Debra H is an individual health care provider with primary practice located at 145 Huguenot St Suite 200, New Rochelle NY 10801-5200. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Etelson, Debra H can be contacted via phone (914) 235-1400.Contact Information
Primary practice address
145 Huguenot St Suite 200
New Rochelle NY 10801-5200
Phone: (914) 235-1400
Fax: (914) 235-1534
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 207127 | New York |
Profile Details
| NPI number | 1215929054 |
|---|---|
| LBN Legal business name | Etelson, Debra H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2005 |
| Last updated | Apr 3rd, 2013 - about 12 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215929054 | NPPES |
| New York | MEDICAID | 01856633 |
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