Betha Hunnicutt Ertzberger, CPED

NPI #1992287387 in Ronkonkoma, New York

Provider Information

NPI Number: 1992287387
Entity Type: Individual
Name: Betha Hunnicutt Ertzberger, CPED
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pedorthist
Credential: CPED
Enumeration Date: Aug 31, 2018
Last Updated: Aug 31, 2018

Practice Location

Address: 2905 VETERANS MEMORIAL HWY STE 2
City: Ronkonkoma
State: New York
ZIP Code: 11779-7655
Phone: (631) 619-8505

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pedorthist	224L00000X	Primary

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