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

Yanina Etlis, DO

Individual provider Family Medicine Physician · NPI 1730160920

Yanina Etlis, DO is a Family Practice in Rego Park, New York. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 2001, 25 years ago. Practices with East Coast Rehabilitation Inc, a 3-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
25
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
NY
In the registry since
2005
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

9785 Queens Blvd
Rego Park, NY 11374-3319
Phone: (718) 261-9100
Fax: (718) 261-6483
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 228241 (NY)

Record details

NPI number1730160920
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedNovember 7, 2005
Last updated in NPPESMarch 29, 2021
Certification dateMarch 29, 2021

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 2001 (25 years in practice)
Group practice East Coast Rehabilitation Inc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Rego Park