Individual
DR. ELLEN R ETTINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D., F.A.A.O.
Contact information
Practice address
530 E 23RD ST APT 1B, NEW YORK, NY 10010-5046
(917) 583-1260
Mailing address
530 E 23RD ST APT 1B, NEW YORK, NY 10010-5046
(917) 583-1260
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV4454
NY
Other
Enumeration date
08/23/2006
Last updated
12/12/2016
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