Individual
BERNARD GUY ETTINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
756 UPPER GLEN ST, QUEENSBURY, NY 12804-2029
(518) 793-3132
Mailing address
756 UPPER GLEN ST, QUEENSBURY, NY 12804-2029
(518) 793-3132
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
028068
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00361371
—
NY
Enumeration date
11/16/2007
Last updated
11/16/2007
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