Ettinger, Jacob Henry

Ettinger, Jacob Henry is an individual health care provider with primary practice located at 21 Canterbury Rd Apartment #3, Great Neck NY 11021-2123. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Ettinger, Jacob Henry can be contacted via phone (516) 570-6015.

Contact Information

Primary practice address
21 Canterbury Rd Apartment #3 Great Neck NY 11021-2123
Phone: (516) 570-6015
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 009528 New York
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 009528 New York

Profile Details

NPI number 1063441517
LBN Legal business name Ettinger, Jacob Henry
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Sep 11th, 2025 - about last year

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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