Individual
DEBRA H ETELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
145 HUGUENOT ST, SUITE 200, NEW ROCHELLE, NY 10801-5200
(914) 235-1400
(914) 235-1534
Mailing address
145 HUGUENOT ST, SUITE 200, NEW ROCHELLE, NY 10801-5200
(914) 235-1400
(914) 235-1534
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
207127
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01856633
—
NY
Enumeration date
08/18/2005
Last updated
04/03/2013
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