Ettinger, Alan B

Ettinger, Alan B is an individual health care provider with primary practice located at 6080 Jericho Tpke , Commack NY 11725-2850. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Neurophysiology, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Ettinger, Alan B can be contacted via phone (631) 364-9119.

Contact Information

Primary practice address
6080 Jericho Tpke Commack NY 11725-2850
Phone: (631) 364-9119
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X 169005 New York
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 169005 New York

Profile Details

NPI number 1467432625
LBN Legal business name Ettinger, Alan B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 21st, 2006
Last updated Jun 21st, 2019 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1467432625 NPPES
New York MEDICAID 01346749

Popular Providers