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Contact Information

ETHEL DEITZ, CNP
136 PKWY DR
COBLESKILL, NY12043
 Phone: 518-234-2555
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ETHEL DEITZ · (Female)

NPI # 1649088865
Status Active
Credentials CNP (Certified Nurse Practitioner)
Entity Individual
Enumeration date 12/19/2024
Last updated 11/25/2025 - About 6 months ago
Sole proprietor 1 No
Identifiers
  • NJ License # 26NJ15235900
  • NY License # 357908
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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