NPI 1992287387

Betha Hunnicutt Ertzberger, CPED

Practitioner Pedorthist Ronkonkoma, NY

Practice location

Address: 2905 Veterans Memorial Hwy STE 2, Ronkonkoma, NY 11779-7655
Phone: (631) 619-8505
Mailing address: 2320 Armstrong Park Dr, Gastonia, NC 28054-4889

Registered specialties

Pedorthist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224L00000X

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Registry record

NPI: 1992287387
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Aug 2018
Record last updated: 31 Aug 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.