Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 217439 | NY |
Y | 207PP0204X | Pediatric Emergency Physician | 217439 | NY |
NPI | 1174656078 |
---|---|
Provider Name | Dr. Melanie Beth Stein Etess |
First Address | Syosset, NY 11791-1008 |
Second Address | New Hyde Park, NY 11040-1402 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/03/2007 |
Last Update Date | 23/02/2016 |