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
Phone: (518) 842-0017
Fax: (518) 842-7545
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871554543 | NPPES |
| New York | MEDICAID | 02047565 |
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