Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MILL ETIENNE, M.D.
ActiveDR. MILL ETIENNE, M.D. is a 2084E0001X healthcare provider located in SUFFERN, New York. NPI 1720008907 is currently active in the NPPES registry. Verify at CMS.
2084E0001X · SUFFERN, NY
Registration Details
- NPI Number
- 1720008907
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 20, 2006 (19.88260540487 yrs)
- Last Updated
- Dec 2, 2024
- Licenses
-
229737 (NY)229737 (NY)229737 (NY)229737 (NY)
Practice Information
- Address
-
100 ROUTE 59 STE 101SUFFERN, NY, 109014927Browse NY providers · Browse ZIP 10901
- Phone
- 8453688808
- Fax
- 8453570709
- Primary Specialty
-
2084E0001X
2084E0001X
- Additional Specialty
- Clinical Neurophysiology
- Additional Specialty
- Child & Adolescent Psychiatry
- Additional Specialty
- 2084E0001X
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.