DIANE M ETTINGER
Medical Practice at Hemlock Ln, Bayshore, NY

License number
New York 008919-1
Category
Medical Practice
Type
Specialist
Address
Address
23 Hemlock Ln, Bayshore, NY 11706
Phone
(631) 495-8460
National Provider ID: 1770724403
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DIANE M. ETTINGER, P.T., PC

23 Hemlock Ln, Bay Shore, NY 11706

Industry:
Nonclassifiable Establishments
Registration:
Sep 21, 2011
State ID:
4144295
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Principal:
Diane M. Ettinger (Principal)

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