Individual
DR. LEIGH MARK ETTINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MS
Contact information
Practice address
301 MANCHESTER RD STE 105, POUGHKEEPSIE, NY 12603-2895
(845) 452-1700
Mailing address
301 MANCHESTER RD STE 105, POUGHKEEPSIE, NY 12603-2895
(458) 452-1700
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
221725-01
NY
2080P0210X
Pediatric Nephrology Physician
25MA07761200
NJ
Other
Enumeration date
06/08/2006
Last updated
01/23/2024
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