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Dr. Leigh Mark Ettinger

Pediatric Nephrologist

153 Main St Ste 203
New Paltz , New York 12561-1116

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Dr. Leigh Mark Ettinger

Pediatric Nephrologist

153 Main St Ste 203
New Paltz , New York 12561-1116

(917) 838-5457

Write a Review Save Call

Dr. Leigh Mark Ettinger

Pediatric Nephrologist

153 Main St Ste 203
New Paltz , New York 12561-1116

(917) 838-5457 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Pediatric Nephrologist

Languages spoken

  • English

Location

153 Main St Ste 203 New Paltz , New York 12561-1116

First Address

  • Dr. Leigh Mark Ettinger
  • 153 Main St Ste 203
  • New Paltz, NY
  • Zip : 12561-1116
  • Phone : (917) 838-5457

Second Address

  • Dr. Leigh Mark Ettinger
  • 153 Main St Ste 203
  • New Paltz, NY
  • Zip : 12561-1116
  • Fax : (551) 996-5397
  • Phone : (551) 996-8228

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FAQs


Where did Dr. Leigh Mark Ettinger attend graduate school?

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Where did Dr. Leigh Mark Ettinger do his residency?

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Where did Dr. Leigh Mark Ettinger do his fellowship?

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Is Dr. Leigh Mark Ettinger board certified?

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What type of doctor is Dr. Leigh Mark Ettinger

Pediatric Nephrologist

In what state does Dr. Leigh Mark Ettinger practice in?

New York

Where is Dr. Leigh Mark Ettinger ’s practice located?

153 Main St Ste 203 , New Paltz, New York, 12561-1116

What is Dr. Leigh Mark Ettinger ’s gender?

Male

Is Dr. Leigh Mark Ettinger a sole practitioner?

No

Is Dr. Leigh Mark Ettinger accepting new patients?

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What languages does Dr. Leigh Mark Ettinger speak?

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Does Dr. Leigh Mark Ettinger accept insurance?

Yes, Dr. Leigh Mark Ettinger accepts insurance

Does Dr. Leigh Mark Ettinger offers telemedicine?

Dr. Leigh Mark Ettinger has not indicated if he offers telemedicine

What is Dr. Leigh Mark Ettinger ’s professional license number?

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What is Dr. Leigh Mark Ettinger ’s NPI number?

1194765859

Does Dr. Leigh Mark Ettinger have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 2080P0210X Pediatric Nephrologist 25MA07761200 NJ

National Provider Identifier

NPI 1194765859
Provider Name Dr. Leigh Mark Ettinger
First Address New Paltz, NY 12561-1116
Second Address New Paltz, NY 12561-1116
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 08/06/2006
Last Update Date 01/10/2021

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
I17480 (02) NJ

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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