Individual
ETHEL DEITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
136 PKWY DR, COBLESKILL, NY 12043
(518) 234-2555
Mailing address
1 ATWELL RD, COOPERSTOWN, NY 13326-1301
(607) 547-3480
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
26NJ15235900
NJ
363LF0000X
Family Nurse Practitioner
Primary
357908
NY
Other
Enumeration date
12/19/2024
Last updated
11/25/2025
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