Search › New York › 207ZP0102X
Ethan Mack, MD, PHD
NPI 1922627843 · on the registry since 2020
Practice
- Address
- 622 W 168th St Ph 1564w
New York, NY 10032 - Phone
- (212) 305-7399
Registry record
- Primary taxonomy
- 207ZP0102X
207ZP0102X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-06-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York