DR. ALAN B ETTINGER (NPI# 1467432625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467432625 |
| Entity Type | Individual |
| Full Name | DR. ALAN B ETTINGER |
| Credential | MD |
| Practice Address |
6080 Jericho Tpke Commack NY 11725-2850 |
| Practice Telephone | 6313649119 |
| Mailing Telephone | 6313649119 |
| Enumeration Date | 2006-01-21 |
| Last Update Date | 2019-06-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
169005 | NY | Allopathic & Osteopathic Physicians |
| N | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
169005 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01346749 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295762771 | Alan Ettinger | Podiatrist | 1001 12th St Ste 104, Fort Worth, TX 76104-3928 | 2006-06-28 |
| Street Address |
6080 JERICHO TPKE |
| City | COMMACK |
| State | NY |
| Zip Code | 11725-2850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346239738 | Mitchell Robert Ezrin | Chiropractor | 6080 Jericho Tpke, Suite 206, Commack, NY 11725-2850 | 2005-10-18 |
| 1871132175 | Laura Santiago | Behavioral Analyst | 6080 Jericho Tpke, Commack, NY 11725-2850 | 2020-01-03 |
| 1235770728 | Camille Serrano | Behavior Technician | 6080 Jericho Tpke, Commack, NY 11725-2850 | 2019-10-04 |
| 1851957302 | Michael Read | Massage Therapist | 6080 Jericho Tpke, Commack, NY 11725-2850 | 2019-05-09 |
| 1063956241 | Lauren Dolce | Nurse Practitioner | 6080 Jericho Tpke, Suite 314, Commack, NY 11725-2850 | 2016-12-07 |
| 1518400159 | Karen S. Tukman, Lcsw, PC | Social Worker | 6080 Jericho Tpke, Suite 304, Commack, NY 11725-2850 | 2016-11-30 |
| 1851840540 | Janine D'amico | Nurse Practitioner | 6080 Jericho Tpke, Commack, NY 11725-2850 | 2016-09-23 |
| 1649653270 | Virginia Mchale | Nurse Practitioner | 6080 Jericho Tpke, Suite 314, Commack, NY 11725-2850 | 2015-07-01 |
| 1063810752 | Julie Haussmann | Social Worker | 6080 Jericho Tpke, Commack, NY 11725-2850 | 2014-12-11 |
| 1144631987 | Shakira Shanker | Psychiatry & Neurology | 6080 Jericho Tpke, Commack, NY 11725-2850 | 2014-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699322131 | Amanda Grace Acebedo | Student in an Organized Health Care Education/Training Program | 785 Larkfield Rd, Commack, NY 11725 | 2019-08-20 |
| 1922667716 | Diana Mcnamara | Social Worker | 13 Audrey Lane, Commack, NY 11725 | 2019-06-06 |
| 1821504333 | Amy Koenig | Specialist | 787 Larkfield Rd, Commack, NY 11725 | 2017-12-19 |
| 1437661501 | Commack Chemist Inc | Pharmacy | 6216 Jericho Turnpike, Commack, NY 11725 | 2017-10-30 |
| 1285168880 | Stephanie Arico | Counselor | 14 Silver Pond Cir, Commack, NY 11725 | 2017-04-20 |
| 1235684432 | Ams Primary Medical Care House Calls,pc | Home Health | 6277 Jericho Tpk, Commack, NY 11725 | 2016-08-18 |
| 1376927459 | Min Sun Park | Dentist | All About Smiles Pediatric Dentistry, 5036 Jericho Turnpike Suite #307, Commack, NY 11725 | 2015-07-17 |
| 1467843748 | Joanna Keegan | Pharmacy Technician | 98 Veterans Memorial Highway, Commack, NY 11725 | 2015-02-09 |
| 1275936841 | Jennie Bernstein | Social Worker | 368 Veterans Hwy Ste 2, Commack, NY 11725 | 2014-09-26 |
| 1417362021 | Diana Matira Yildirim | Pediatrics | 646 Commack Road, Commack, NY 11725 | 2014-06-23 |
| Find all providers in zip 11725 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912958802 | Jennifer Mcmonigle | Psychiatry & Neurology | 358 Veterans Memorial Hwy, Ste 11, Commack, NY 11725 | 2006-05-15 |
| 1144631987 | Shakira Shanker | Psychiatry & Neurology | 6080 Jericho Tpke, Commack, NY 11725-2850 | 2014-05-14 |
| 1134165939 | David L. Kreitzman, M.d., P.C. | Psychiatry & Neurology | 283 Commack Rd, Suite 101, Commack, NY 11725-3400 | 2006-06-21 |
| 1427056605 | David L. Kreitzman | Psychiatry & Neurology | 283 Commack Rd, Suite 101, Commack, NY 11725-3400 | 2005-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124638275 | Oversight Physician Services Pllc | Psychiatry & Neurology | 198 Sussex Dr, Manhasset, NY 11030-3737 | 2020-08-04 |
| 1841818234 | Padmaja Aradhya Md Pllc | Psychiatry & Neurology | 17 Dillon Dr, Dix Hills, NY 11746-7945 | 2020-07-11 |
| 1184279085 | All Island Neurology PC | Psychiatry & Neurology | 11617 Atlantic Ave, Richmond Hill, NY 11418-3141 | 2019-08-07 |
| 1346802352 | Ny Neurology Medicine PC | Psychiatry & Neurology | 305 7th Ave Rm 13c, New York, NY 10001-6155 | 2019-07-01 |
| 1770144636 | Upstate Neurology P.C. | Psychiatry & Neurology | 804 Syska Rd, Ossining, NY 10562-1424 | 2019-06-21 |
| 1659836518 | David T Finkelstein | Psychiatry & Neurology | 3619 Bedford Ave Apt 1b, Brooklyn, NY 11210-5254 | 2019-02-05 |
| 1801360029 | Ghassan George Haddad | Psychiatry & Neurology | 20 Waterside Plz Apt 26e, New York, NY 10010-2665 | 2019-01-22 |
| 1427527472 | Daniel Ahoubim Md PC | Psychiatry & Neurology | 37 W 26th St Rm 204, New York, NY 10010-1145 | 2018-11-20 |
| 1053889378 | Paul Wright, M.d. | Psychiatry & Neurology | 500 N Broadway Ste 16, Jericho, NY 11753-2127 | 2018-11-05 |
| 1770096109 | Wpw Medical, Pllc | Psychiatry & Neurology | 280 Dobbs Ferry Rd Ste 206, White Plains, NY 10607-1912 | 2017-11-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.