Mill Etienne, M.D.

Epilepsy Physician · Suffern, NY

Individual Active NPI

NPI number 1720008907

Practice location

100 Route 59 Ste 101
Suffern, NY 10901-4927

Phone: (845) 368-8808
Fax: (845) 357-0709

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NPI record

NPI: 1720008907
Entity type: Individual (Type 1)
Enumeration date: July 20, 2006
Last updated: December 2, 2024
Certified: December 2, 2024
Sole proprietor: No

Specialties & taxonomy codes

Taxonomy	Code	License	State
Epilepsy Physician Primary	`2084E0001X`	229737	NY
Neurology Physician	`2084N0400X`	229737	NY
Clinical Neurophysiology Physician	`2084N0600X`	229737	NY
Brain Injury Medicine (Psychiatry & Neurology) Physician	`2084P0301X`	229737	NY

Mailing address

20 Grand St Fl 3
Warwick, NY 10990-1035

Phone: (845) 987-3906
Fax: (845) 987-5979

Other practice locations (1)

60 Dutch Hill Rd, Orangeburg, NY 10962-1723 · (845) 777-3555

About Dr. Etienne

Mill Etienne, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Epilepsy Physician (code 2084E0001X). The practice location is 100 Route 59 Ste 101, Suffern, NY 10901-4927. The NPI number 1720008907 was assigned on July 20, 2006 and the record was last updated on December 2, 2024.

Dr. Etienne lists 4 licenses in the registry: #229737 (NY) for Epilepsy Physician; #229737 (NY) for Neurology Physician; #229737 (NY) for Clinical Neurophysiology Physician; #229737 (NY) for Brain Injury Medicine (Psychiatry & Neurology) Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mill Etienne, M.D.?

The NPI number is 1720008907.

What is the phone number of Dr. Etienne?

The phone number listed for the practice location is (845) 368-8808.

Where is Dr. Etienne located?

100 Route 59 Ste 101, Suffern, NY 10901-4927.

What is the taxonomy code for Dr. Etienne?

The primary taxonomy code is 2084E0001X – Epilepsy Physician; 3 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.