National Provider Identifier

Stephen E Ettinghausen, M.D.

Stephen E Ettinghausen, M.D. is listed in the NPPES registry with a primary specialty of Surgical Oncology Physician in Rochester, NY and a listed phone number of (585) 922-4874.

NPI 1225068638Rochester, NYSurgical Oncology Physician

Source: public NPPES record, last updated August 06, 2012. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1225068638
Provider Type
Individual
Primary Specialty
Surgical Oncology Physician
Enumeration Date
July 03, 2006
Last Updated
August 06, 2012

Practice Location

  • 1415 Portland Ave
  • Suite 245
  • Rochester, NY 14621-3038

Phone: (585) 922-4874

Specialties

  • Surgical Oncology Physician (2086X0206X)
  • Surgery Physician (208600000X)

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Full Record
NPI
1225068638
Entity Type
Individual
Last Name
Ettinghausen
First Name
Stephen
Middle Name
E
Credential
M.D.
Mailing Street Address
1415 Portland Ave
Mailing Address Line 2
Suite 245
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14621-3038
Mailing Country
US
Mailing Phone
(585) 922-4874
Practice Street Address
1415 Portland Ave
Practice Address Line 2
Suite 245
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-3038
Practice Country
US
Practice Phone
(585) 922-4874
Enumeration Date
July 03, 2006
Last Updated
August 06, 2012
Sex
Male
Sole Proprietor
Yes
Taxonomies
Surgical Oncology Physician (2086X0206X), Surgery Physician (208600000X)