Dr Leigh Mark Ettinger, MD, MS | |
301 Manchester Rd Ste 105, Poughkeepsie, NY 12603-2895 | |
(845) 452-1700 | |
Not Available |
Full Name | Dr Leigh Mark Ettinger |
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Gender | Male |
Speciality | Pediatrics |
Location | 301 Manchester Rd Ste 105, Poughkeepsie, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194765859 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0210X | Pediatrics - Pediatric Nephrology | 25MA07761200 (New Jersey) | Secondary |
208000000X | Pediatrics | 221725-01 (New York) | Primary |
Entity Name | Hackensack Meridian Health Medical Group - Specialty Care Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215989249 PECOS PAC ID: 9133032519 Enrollment ID: O20031111000524 |
Mailing Address | Practice Location Address |
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Dr Leigh Mark Ettinger, MD, MS 301 Manchester Rd Ste 105, Poughkeepsie, NY 12603-2895 Ph: (458) 452-1700 | Dr Leigh Mark Ettinger, MD, MS 301 Manchester Rd Ste 105, Poughkeepsie, NY 12603-2895 Ph: (845) 452-1700 |
Kimberly N. Robinson, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 370 Violet Ave, Poughkeepsie, NY 12601 Phone: 845-471-1807 Fax: 845-471-1815 | |
Priyam Pattnaik, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 45 Reade Pl, Poughkeepsie, NY 12601 Phone: 845-431-5677 Fax: 845-437-3181 | |
Jenny Sung, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 241 North Rd, Poughkeepsie, NY 12601 Phone: 845-483-5000 | |
Aaron Blum, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 104 Fulton Ave, Poughkeepsie, NY 12603 Phone: 845-452-1700 Fax: 845-452-1752 | |
Diane Cicatello, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 30 Columbia St, Poughkeepsie, NY 12601 Phone: 845-231-5600 Fax: 845-592-7710 | |
Lawrence Schaffer, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 104 Fulton Ave, Poughkeepsie, NY 12603 Phone: 845-452-1700 Fax: 845-452-1752 | |
Dr. Oluchi N. Nwahiwe, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 301 Manchester Rd., Suite 105, Poughkeepsie, NY 12603 Phone: 845-452-1700 Fax: 845-452-1752 |