Stephen E Ettinghausen
Surgeon Surgical Oncologist
1415 Portland Ave Suite 245
Rochester
, New York 14621-3038
Stephen E Ettinghausen
Surgeon Surgical Oncologist
1415 Portland Ave Suite 245
Rochester
, New York 14621-3038
(585) 922-4874
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About
Features
Specialties
- Surgeon
- Surgical Oncologist
Languages spoken
- English
Location
First Address
- Stephen E Ettinghausen
- 1415 Portland Ave Suite 245
- Rochester, NY
- Zip : 14621-3038
- Phone : (585) 922-4874
Second Address
- Stephen E Ettinghausen
- 1415 Portland Ave Suite 245
- Rochester, NY
- Zip : 14621-3038
- Phone : (585) 922-4874
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | 138462 | NY |
| N | 208600000X | Surgeon | 138462 | NY |
| Y | 2086X0206X | Surgical Oncologist | 138462 | NY |
National Provider Identifier
| NPI | 1225068638 |
|---|---|
| Provider Name | Stephen E Ettinghausen |
| First Address | Rochester, NY 14621-3038 |
| Second Address | Rochester, NY 14621-3038 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/07/2006 |
| Last Update Date | 06/08/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
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?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.