Dr Ellen R Ettinger, OD, FAAO | |
530 E 23rd St Apt 1b, New York, NY 10010-5046 | |
(917) 583-1260 | |
Not Available |
Full Name | Dr Ellen R Ettinger |
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Gender | Female |
Speciality | Optometrist |
Location | 530 E 23rd St Apt 1b, New York, 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 |
---|---|---|---|
1982711313 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | TUV4454 (New York) | Primary |
Provider Name | Heartshare Wellness Ltd |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1487895371 PECOS PAC ID: 8921992967 Enrollment ID: O20040211000469 |
Provider Name | United Cerebral Palsy Of New York City, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1730302019 PECOS PAC ID: 4688748320 Enrollment ID: O20110414000251 |
Mailing Address | Practice Location Address |
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Dr Ellen R Ettinger, OD, FAAO 530 E 23rd St Apt 1b, New York, NY 10010-5046 Ph: (917) 583-1260 | Dr Ellen R Ettinger, OD, FAAO 530 E 23rd St Apt 1b, New York, NY 10010-5046 Ph: (917) 583-1260 |
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