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Organization
LEIGH ETTINGER, MD, PLLC
Active
Organization
LEIGH ETTINGER, MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEIGH ETTINGER MD (OWNER)
(917) 838-5457
Entity
Organization
Contact information
Practice address
153 MAIN ST STE 203, NEW PALTZ, NY 12561-1116
(845) 475-8116
Mailing address
153 MAIN ST STE 203, NEW PALTZ, NY 12561-1116
Taxonomy
Speciality
Code
Description
License number
State
2080B0002X
Pediatric Obesity Medicine Physician
—
NULL
2080B0002X
Pediatric Obesity Medicine Physician
—
—
2080P0210X
Pediatric Nephrology Physician
Primary
—
NULL
2080P0210X
Pediatric Nephrology Physician
Primary
—
—
Other
Enumeration date
03/18/2021
Last updated
03/18/2021
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