Etra, Kenneth S
Etra, Kenneth S is an individual health care provider with primary practice located at 560 Northern Blvd , Great Neck NY 11021-5100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Etra, Kenneth S can be contacted via phone (516) 487-6200.Contact Information
Primary practice address
560 Northern Blvd
Great Neck NY 11021-5100
Phone: (516) 487-6200
Fax: (516) 487-6329
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 127393 | New York |
Profile Details
| NPI number | 1225012313 |
|---|---|
| LBN Legal business name | Etra, Kenneth S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2005 |
| Last updated | Jul 9th, 2007 - about 17 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.
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