Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Diane M Ettinger

Individual provider Specialist · NPI 1770724403

Diane M Ettinger is a Specialist in Bay Shore, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2009

Practice location Address checks out

23 Hemlock Ln
Bay Shore, NY 11706-7810
Phone: (631) 495-8460
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 008919-1 (NY)

Record details

NPI number1770724403
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 10, 2009
Last updated in NPPESMarch 10, 2009

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