Etienne, Mill

Etienne, Mill is an individual health care provider with primary practice located at 100 Route 59 Ste 101 , Suffern NY 10901-4927. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology, Allopathic & Osteopathic Physicians / Brain Injury Medicine. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Etienne, Mill can be contacted via phone (845) 368-8808.

Contact Information

Primary practice address
100 Route 59 Ste 101 Suffern NY 10901-4927
Phone: (845) 368-8808
Fax: (845) 357-0709
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 229737 New York
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X 229737 New York
Allopathic & Osteopathic Physicians / Brain Injury Medicine 2084P0301X 229737 New York

Profile Details

NPI number 1720008907
LBN Legal business name Etienne, Mill
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Dec 2nd, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720008907 NPPES
New York MEDICAID 02783493

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