| Emily T. Etzkorn, M.d., P.c. | |
|
5010 State Highway 30 Suite G-02 Amsterdam NY 12010-7532 | |
| (518) 842-0017 | |
| (518) 842-7545 |
| Full Name | Emily T. Etzkorn, M.d., P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 5010 State Highway 30, Amsterdam, New York |
| Authorized Official Name and Position | Emily T. Etzkorn (PRESIDENT/CORPORATION HOLDER) |
| Authorized Official Contact | 5188420017 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emily T. Etzkorn, M.d., P.c. 5010 State Highway 30 Suite G-02 Amsterdam NY 12010-7532 Ph: (518) 842-0017 | Emily T. Etzkorn, M.d., P.c. 5010 State Highway 30 Suite G-02 Amsterdam NY 12010-7532 Ph: (518) 842-0017 |
| NPI Number | 1396856530 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 10/21/2010 |
| Medicare PECOS PAC ID | 1557554235 |
|---|---|
| Medicare Enrollment ID | O20101026001217 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396856530 | NPI | - | NPPES |
| 02047565 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Vitina Ruffino-mosher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619030616 PECOS PAC ID: 8325072820 Enrollment ID: I20050926000120 |
| Provider Name | Emily T Etzkorn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871554543 PECOS PAC ID: 1850584541 Enrollment ID: I20101026001392 |
| Provider Name | Julia M Gross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114271970 PECOS PAC ID: 2860705753 Enrollment ID: I20150721002504 |
| Provider Name | Eloise Marie Potenza |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922292622 PECOS PAC ID: 4183904279 Enrollment ID: I20180315000254 |
| Provider Name | Jessica L Benoit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124674957 PECOS PAC ID: 1951701903 Enrollment ID: I20210611001653 |
| Provider Name | Angela Fraumane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821762410 PECOS PAC ID: 3870999436 Enrollment ID: I20210907001517 |
Endocrinology Amsterdam Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5010 State Highway 30, Amsterdam, NY 12010 Phone: 518-273-3755 | |
Jeremiah Benoit Md, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5010 State Highway 30, Suite 201, Amsterdam, NY 12010 Phone: 518-842-7161 Fax: 518-842-0797 | |
Hometown Health Centers At Amsterdam Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 67 Division St Ste 2, Amsterdam, NY 12010 Phone: 518-627-2110 Fax: 518-627-2112 | |
St. Mary's Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4988 State Hwy 30, 2nd Floor, Amsterdam, NY 12010 Phone: 518-841-3770 Fax: 518-841-3775 | |
Carondelet Regional Medical, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 119 Holland Circle Dr, Amsterdam, NY 12010 Phone: 518-843-4522 Fax: 518-843-8306 | |
Liberty Enterprises Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 47 Liberty Dr, Amsterdam, NY 12010 Phone: 518-954-2027 Fax: 518-954-2009 | |
Amsterdam Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4988 State Highway 30, Amsterdam, NY 12010 Phone: 518-842-3100 Fax: 518-841-3678 |