IDA K ETAH

BRONX, NY
NPI1497045371
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  F336219)
Enumeration Date2011-04-13
Last Update Date2019-10-22
Business Address
IDA K ETAH FNP
2960 MICKLE AVE
BRONX, NY 10469-3304
Phone number: 646-683-1949
Mailing Address
IDA K ETAH FNP
2960 MICKLE AVE
BRONX, NY 10469-3304
Phone number: 646-683-1949
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