Individual provider · Type 1 NPI

Diane M. Ettinger

Specialist · Bay Shore, NY

NPI number 1770724403 Active

Practice location

23 Hemlock Ln
Bay Shore, NY 11706-7810

Call (631) 495-8460 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X008919-1 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1770724403

Diane M. Ettinger's National Provider Identifier is 1770724403, issued on Mar 10, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Bay Shore, NY. The record was last updated on Mar 10, 2009.