Individual
ETHAN TALBOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 ATWELL RD, COOPERSTOWN, NY 13326-1301
(607) 547-3456
(607) 547-6612
Mailing address
1 ATWELL RD, COOPERSTOWN, NY 13326-1301
(607) 547-4507
(607) 547-6553
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
290950
NY
Other
Enumeration date
03/22/2016
Last updated
04/11/2022
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