Emily T. Etzkorn, MD, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

202417 Issued in NY

Legal business name

EMILY T. ETZKORN, MD, PC

Practice address

5010 State Highway 30 Ste G02
Amsterdam, NY 12010-7532

Phone

(518) 842-0017

Fax

(518) 842-7545

NPI assigned

Dec 15, 2017

Last updated

Dec 15, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Emily T Etzkorn, MDNPI 1871554543

Title

President

Phone

(518) 842-0017

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Emily T. Etzkorn, M.D.

  • Internal Medicine Physician
  • Amsterdam, NY
  • NPI 1871554543
  NPD (past) Authorized official
• Jessica Lee Benoit, FNP-BC

  • Family Medicine Physician
  • Amsterdam, NY
  • NPI 1124674957
  NPD (past)
• Nichelle Carter, FNP-BC

  • Family Nurse Practitioner
  • Schenectady, NY
  • NPI 1053161174
  NPD (past)
• Yvonne Fasone, R.P.A.-C

  • Medical Physician Assistant
  • Amsterdam, NY
  • NPI 1215949292
  NPD (past)
• Angela Fraumane, FNP-BC

  • Family Nurse Practitioner
  • Amsterdam, NY
  • NPI 1821762410
  NPD (past)
• Robert Freeman, M.D.

  • Family Medicine Physician
  • Greenwich, NY
  • NPI 1285047746
  NPD (past)
• Julia M Gross, FNP

  • Family Nurse Practitioner
  • Clifton Park, NY
  • NPI 1114271970
  NPD (past)
• Meghan Kise, PNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Albany, NY
  • NPI 1649623984
  NPD (past)
• Nancy S Knudsen, MD

  • Internal Medicine Physician
  • Amsterdam, NY
  • NPI 1003826025
  NPD (past)
• Eloise Marie Potenza, PSY.D.

  • Psychologist
  • Schenectady, NY
  • NPI 1922292622
  NPD (past)
• Stephanie Rudin

  • Family Nurse Practitioner
  • Amsterdam, NY
  • NPI 1174392948
  NPD (past)
• Vitina Ruffino-Mosher, FNP

  • Family Nurse Practitioner
  • Fonda, NY
  • NPI 1619030616
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1513296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513296000000",
    "number": "1730695552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 STATE HIGHWAY 30 STE G02",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120107532",
            "telephone_number": "518-842-0017",
            "fax_number": "518-842-7545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 STATE HIGHWAY 30 STE G02",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120107532",
            "telephone_number": "518-842-0017",
            "fax_number": "518-842-7545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMILY T. ETZKORN, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-15",
        "last_updated": "2017-12-15",
        "status": "A",
        "authorized_official_last_name": "ETZKORN",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-842-0017",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "202417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David J Eisenberg, M.D.
• Elmer Jones Tadena Elma, ACNP, PMHNP, ACNS
• Cynthia Elsenbeck, RN
• Alison Elsheikh, FNP-BC
• Emily T. Etzkorn, M.D., P.C.
• Empire Vision Center Inc (Empire Vision Centers)
• Endocrinology Amsterdam
• Patricia Eppolito, FNP
• Eric G. Klausner, MD, PLLC (Nathan Littauer Hospital and NH)
• Emily T. Etzkorn, M.D.

• Family Medicine Physician in Amsterdam, NY
• Providers in Amsterdam, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.