Organization
EMILY T. ETZKORN, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMILY T. ETZKORN M.D., P.C. (PRESIDENT/CORPORATION HOLDER)
(518) 842-0017
Entity
Organization
Contact information
Practice address
5010 STATE HIGHWAY 30, SUITE G-02, AMSTERDAM, NY 12010-7532
(518) 842-0017
(518) 842-7545
Mailing address
5010 STATE HIGHWAY 30, SUITE G-02, AMSTERDAM, NY 12010-7532
(518) 842-0017
(518) 842-7545
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02047565
—
NY
Enumeration date
08/31/2006
Last updated
10/21/2010
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