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.
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)
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
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Surgical Oncology Physician (2086X0206X), Surgery Physician (208600000X)