# ETHAN A URBANSKY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1457786139
- **Gender:** Man
- **Credential:** PAC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2255A2300X | Athletic Trainer | A0000250 | MD | — |
| 363A00000X | Physician Assistant | C0010009 | MD | Yes |

## Other

- **Enumeration date:** 09/12/2013
- **Last updated:** 05/27/2026
