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

Dr. Kenneth S Etra, MD

Individual provider Otolaryngology Physician · NPI 1225012313

Dr. Kenneth S Etra, MD is an Otolaryngology in Great Neck, New York. Graduated from Tufts University School of Medicine in 1975, 51 years ago. Practices with New York Allergy Asthma and Immunology PC, an 11-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
51
Trained at
Tufts University School of Medicine
Licensed in
NY
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

560 Northern Blvd
Great Neck, NY 11021-5100
Phone: (516) 487-6200
Fax: (516) 487-6329
Show map & directions

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

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 127393 (NY)

Record details

NPI number1225012313
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 1, 2005
Last updated in NPPESJuly 13, 2026
Mailing address560 Northern Blvd, Great Neck, NY 11021-5100

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Medical schoolTUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduated 1975 (51 years in practice)
Group practice New York Allergy Asthma And Immunology Pc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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