Ettinger, Bernard Guy

Ettinger, Bernard Guy is an individual health care provider with primary practice located at 756 Upper Glen St , Queensbury NY 12804-2029. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Ettinger, Bernard Guy can be contacted via phone (518) 793-3132.

Contact Information

Primary practice address
756 Upper Glen St Queensbury NY 12804-2029
Phone: (518) 793-3132
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 028068 New York

Profile Details

NPI number 1003097148
LBN Legal business name Ettinger, Bernard Guy
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2007
Last updated Nov 16th, 2007 - about 19 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 1003097148 NPPES
New York MEDICAID 00361371

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