Etzkorn, Emily T.

Etzkorn, Emily T. is an sole proprietor health care provider with primary practice located at 5010 State Highway 30 Suite G-02, Amsterdam NY 12010-7532. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Etzkorn, Emily T. can be contacted via phone (518) 842-0017.

Contact Information

Primary practice address
5010 State Highway 30 Suite G-02 Amsterdam NY 12010-7532
Fax: (518) 842-7545
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2024171 New York
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2024171 New York

Profile Details

NPI number 1871554543
LBN Legal business name Etzkorn, Emily T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 31st, 2006
Last updated Feb 4th, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1871554543 NPPES
New York MEDICAID 02047565

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