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Individual

EMILY T. ETZKORN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

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
2024171
NY
208000000X
Pediatrics Physician
2024171
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02047565
NY
Enumeration date
03/31/2006
Last updated
02/04/2010
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