IDA TETRO

FOREST HILLS, NY
NPI1649315243
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: NY  220405)
Enumeration Date2007-02-21
Last Update Date2012-12-05
Business Address
-- IDA TETRO md
6960 108TH ST SUITE 108
FOREST HILLS, NY 11375-4323
Phone number: 718-263-0200
Mailing Address
-- IDA TETRO md
6960 108TH ST SUITE 108
FOREST HILLS, NY 11375-4323
Phone number: 718-263-0200
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