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Contact Information

ALAN B ETTINGER, MD
6080 JERICHO TPKE
COMMACK, NY11725-2850
 Phone: 631-364-9119
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
 

Clinical Neurophysiology

2084N0600X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for ALAN B ETTINGER · (Male)

NPI # 1467432625
Status Active
Credentials MD
Entity Individual
Enumeration date 01/21/2006
Last updated 06/21/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 169005
  • NY Medicaid 01346749
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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