Alan B Ettinger in Commack - Clinical Neurophysiology
Alan B Ettinger - NPI 1467432625
Alan B Ettinger is a Clinical Neurophysiology in Commack, New York. Alan B Ettinger practices all healthcare services and medical treatments related to Clinical Neurophysiology. The NPI Number for Alan B Ettinger is 1467432625. The last update date is 2019-06-21.
Alan B Ettinger's current location address is 6080 Jericho Tpke, Commack, New York. You can contact this provider via phone number 6313649119. The mailing address for Alan B Ettinger is 6080 Jericho Tpke, Commack, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alan B Ettinger |
|---|---|
| Address | 6080 Jericho Tpke, Commack, New York |
| Phone Number | 6313649119 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1467432625 |
|---|---|
| Provider Enumeration Date | 2006-01-21 |
| Last Updated Date | 2019-06-21 |
Provider Mailing Address Detail
| Address | 6080 Jericho Tpke |
|---|---|
| City | Commack |
| State | New York (NY) |
| Post Code | 117252850 |
| Phone Number | 6313649119 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neurophysiology |
|---|---|
| Taxonomy | 2084N0600X |
| Licence No | 169005 |
|
Definition: Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1346749 | NY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Alan B Ettinger by the Centers for Medicare & Medicaid Services (CMS)?
The Alan B Ettinger has been assigned the NPI (National Provider Identifier) 1467432625. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Alan B Ettinger?
The Alan B Ettinger is physically situated at 6080 Jericho Tpke, in the city of Commack, state of NY, with the postal code 117252850.
What is the Alan B Ettinger's area of specialization and corresponding taxonomy classification?
The Alan B Ettinger's specialty field is Clinical Neurophysiology, and it falls under the taxonomy code 2084N0600X, which categorizes healthcare providers based on their specialties.
On what date did the Alan B Ettinger receive the assignment of its 1467432625 from the Centers for Medicare & Medicaid Services?
The Alan B Ettinger was issued its 1467432625 by the Centers for Medicare & Medicaid Services on 2006-01-21.
When was the Alan B Ettinger's information last updated?
The Alan B Ettinger's information was last updated on 2019-06-21.
NPI Number: 1376546309
Address: 1498 Se Tech Center Pl Ste 240, Vancouver, WA