Individual
DR. ETTA MARY ESKRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3001
(585) 922-5067
(585) 922-2908
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 922-0553
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
209932
NY
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
209932
NY
208M00000X
Hospitalist Physician
209932
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00001938416 03
UNITED HEALTHCARE
NY
05
—
01867761
—
NY
01
—
5060783
AETNA/US HEALTHCARE
NY
01
—
6018946
MVP
NY
01
—
6960608-012
CIGNA
NY
01
—
6C6477
HEALTHNET
NY
01
—
766AV2
BLUE CROSS/BLUE SHIELD
NY
01
—
76AV1
BLUE CROSS/BLUE SHIELD
NY
01
—
P2203255
OXFORD
NY
Enumeration date
10/03/2006
Last updated
09/21/2022
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