Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KENNETH S ETRA, M.D.

Active

DR. KENNETH S ETRA, M.D. is a Otolaryngology healthcare provider located in GREAT NECK, New York. NPI 1225012313 is currently active in the NPPES registry. Verify at CMS.

Otolaryngology · GREAT NECK, NY

Registration Details

NPI Number: 1225012313
Provider Type: Individual
Gender: Male
NPI Issued: Dec 1, 2005 (20.51908319784 yrs)
Last Updated: Jul 9, 2007
License: 127393 (NY)

Practice Information

Address: 560 NORTHERN BLVD

GREAT NECK, NY, 110215100
Browse NY providers · Browse ZIP 11021
Phone: 5164876200
Fax: 5164876329
Primary Specialty: Otolaryngology
207Y00000X

Other Otolaryngology Providers in GREAT NECK, NY

Name	Credential	NPI
DR. JOSH WERBER	M.D.	1083610455
DR. LAWRENCE B MOLLICK	M.D.	1083698765
DR. RICHARD G ETRA	M.D.	1679558118
DR. KAREN ANN HAUNSS-SAPINSKI	M.D.	1265463921
HOWARD S BROWNSTEIN	MD	1518981935
DR. RONALD A LEVY	MD	1760498042

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.