Individual
MR. CHRISTOPHER M. ETEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
74825 MAIN RD, GREENPORT, NY 11944-2823
(631) 477-1720
Mailing address
74825 MAIN RD, GREENPORT, NY 11944-2823
(631) 477-1720
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
008091
NY
Other
Enumeration date
12/28/2006
Last updated
03/29/2021
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