# EMILY T. ETZKORN, M.D., P.C.

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

## Provider details

- **NPI number:** 1396856530
- **Authorized official:** DR. EMILY T. ETZKORN M.D., P.C. (PRESIDENT/CORPORATION HOLDER)
- **Authorized official phone:** (518) 842-0017

## Contact information

- **Practice address:** 5010 STATE HIGHWAY 30, SUITE G-02, AMSTERDAM, NY 12010-7532
- **Practice address phone:** (518) 842-0017
- **Practice address fax:** (518) 842-7545
- **Mailing address:** 5010 STATE HIGHWAY 30, SUITE G-02, AMSTERDAM, NY 12010-7532
- **Mailing address phone:** (518) 842-0017
- **Mailing address fax:** (518) 842-7545

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 10/21/2010