Etienne, Mineke E.

Etienne, Mineke E. is an individual health care provider with primary practice located at 624 Mcclellan Street Suite 101, Schenectady NY 12304-1020. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Etienne, Mineke E. can be contacted via phone (518) 382-2260.

Contact Information

Primary practice address
624 Mcclellan Street Suite 101 Schenectady NY 12304-1020
Phone: (518) 382-2260
Fax: (518) 347-5007
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 262777 New York

Profile Details

NPI number 1811963465
LBN Legal business name Etienne, Mineke E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2006
Last updated Jan 19th, 2015 - about 11 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 1811963465 NPPES
New York MEDICAID 02634522

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