Gabriel D Ettenson in Irvington - Physical Therapist

Gabriel D Ettenson - NPI 1154323624

Gabriel D Ettenson is a Physical Therapist in Irvington, New York. Gabriel D Ettenson practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Gabriel D Ettenson is 1154323624. The last update date is 2007-07-08.

Gabriel D Ettenson's current location address is 151 Locust Lane, Irvington, New York. You can contact this provider via phone number 5169678108. The mailing address for Gabriel D Ettenson is 151 Locust Lane, Irvington, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Gabriel D Ettenson
Address 151 Locust Lane, Irvington, New York
Phone Number 5169678108
Fax Number
Sole Proprietor X
Credentials PT

NPI Number Detail

NPI Number 1154323624
Provider Enumeration Date 2005-08-13
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 151 Locust Lane
City Irvington
State New York (NY)
Post Code 10533
Phone Number 5169678108
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No 18762
Definition:
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per

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FAQs about Gabriel D Ettenson

What is the unique identifier code issued to Gabriel D Ettenson by the Centers for Medicare & Medicaid Services (CMS)?

The Gabriel D Ettenson has been assigned the NPI (National Provider Identifier) 1154323624. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical address where Gabriel D Ettenson is geographically located?

The Gabriel D Ettenson is physically situated at the following location: 151 Locust Lane, Irvington, NY, 10533.

What is the Gabriel D Ettenson's specialty and taxonomy code?

The Gabriel D Ettenson's specialty is Physical Therapist, and the corresponding taxonomy code is 225100000X.

On what date did the Gabriel D Ettenson receive its 1154323624 assignment from the Centers for Medicare & Medicaid Services?

The Gabriel D Ettenson was assigned its 1154323624 by the Centers for Medicare & Medicaid Services on 2005-08-13.

When was the information pertaining to Gabriel D Ettenson most recently updated or revised?

The details related to Gabriel D Ettenson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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