Individual provider · Type 1 NPI

Ethan James Pitney, MD

Student in an Organized Health Care Education/Training Program · Cooperstown, NY

NPI number 1568264091 Active

Practice location

1 Atwell Rd
Cooperstown, NY 13326-1301

Mailing address

92 Clark Hill Rd
East Haddam, CT 06423-1548

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1568264091

Ethan James Pitney, MD's National Provider Identifier is 1568264091, issued on Mar 25, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Cooperstown, NY. The record was last updated on Apr 23, 2025.