Individual provider · Type 1 NPI

Richard G. Etra, MD

Otolaryngology Physician · Great Neck, NY

NPI number 1679558118 Active

Practice location

560 Northern Blvd
Great Neck, NY 11021-5100

Call (516) 487-6200 Map

Fax (516) 487-6329

Mailing address

175 Jericho Tpke
Syosset, NY 11791-4532

Specialties and licenses

TaxonomyCodeLicense
Otolaryngology Physician Primary 207Y00000X128003 (NY)

Otolaryngology Physician: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injurie…

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About NPI 1679558118

Richard G. Etra, MD's National Provider Identifier is 1679558118, issued on Dec 7, 2005. The primary taxonomy on file is Otolaryngology Physician (207Y00000X), and the practice location is in Great Neck, NY. The record was last updated on Jul 13, 2026.