# LEIGH ETTINGER, MD, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386220671
- **Authorized official:** LEIGH ETTINGER MD (OWNER)
- **Authorized official phone:** (917) 838-5457

## Contact information

- **Practice address:** 153 MAIN ST STE 203, NEW PALTZ, NY 12561-1116
- **Practice address phone:** (845) 475-8116
- **Mailing address:** 153 MAIN ST STE 203, NEW PALTZ, NY 12561-1116

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080B0002X | Pediatric Obesity Medicine Physician | — | NULL | — |
| 2080B0002X | Pediatric Obesity Medicine Physician | — | — | — |
| 2080P0210X | Pediatric Nephrology Physician | — | NULL | Yes |
| 2080P0210X | Pediatric Nephrology Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/18/2021
- **Last updated:** 03/18/2021