JOSEPH RICHARD IDA

BROOKLYN, NY
NPI1366418287
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  f332104-01)
Enumeration Date2006-02-28
Last Update Date2013-03-20
Business Address
-- JOSEPH RICHARD IDA NP
451 CLARKSON AVE T BLG ROOM 606
BROOKLYN, NY 11203-2057
Phone number: 718-245-4485
Mailing Address
-- JOSEPH RICHARD IDA NP
42 SEAMAN AVE
ROCKVILLE CENTER, NY 11570-2429
Phone number: 516-724-0537
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