Emily T. Etzkorn, Md, Pc | |
5010 State Highway 30 Ste G02 Amsterdam NY 12010-7532 | |
(518) 842-0017 | |
(518) 842-7545 |
Full Name | Emily T. Etzkorn, Md, Pc |
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Speciality | Family Medicine |
Location | 5010 State Highway 30 Ste G02, Amsterdam, New York |
Authorized Official Name and Position | Emily T Etzkorn (PRESIDENT) |
Authorized Official Contact | 5188420017 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Emily T. Etzkorn, Md, Pc 5010 State Highway 30 Ste G02 Amsterdam NY 12010-7532 Ph: (518) 842-0017 | Emily T. Etzkorn, Md, Pc 5010 State Highway 30 Ste G02 Amsterdam NY 12010-7532 Ph: (518) 842-0017 |
NPI Number | 1730695552 |
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Provider Enumeration Date | 12/15/2017 |
Last Update Date | 12/15/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730695552 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 202417 (New York) | Primary |
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