Ethel Miriam Iusim M.D.

NPI 1205066362 - General Practice - 208D00000X

NPI Details
NPI 1205066362
Gender Female
Enumeration Date 07/22/2009
Last Updated 07/28/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
95-55 ROOSEVELT AVE
JACKSON HEIGHTS NY, 11372, US
Phone (718) 478-7272
Fax (718) 478-6455
Business Location
95-55 ROOSEVELT AVE
JACKSON HEIGHTS NY, 11372, US
Phone (718) 478-7272
Fax (718) 478-6455
Toxanomy
Taxonomy Code 208D00000X
License State New York
License Number 191660
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According to our database, Ethel Miriam Iusim M.D. NPI is 1205066362, taxonomy code is 208D00000X and license number is 191660, license state is located at New York. Ethel Miriam Iusim M.D. physically located at 95-55 Roosevelt Ave, Jackson Heights NY, 11372. NPI Number Ethel Miriam Iusim M.D. has the Individual type.

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1205066362 NPI number is provided on an as is basis without warranty of any kind. 1205066362 is maintained by the National Plan & Provider Enumeration System. The contents of Ethel Miriam Iusim M.D. are for informational purposes only.