SearchNew York363LF0000X

Ida Etah, FNP

NPI 1497045371 · on the registry since 2011 · sole proprietor

Practice

Address
2960 Mickle Ave
Bronx, NY 10469
Phone
(646) 683-1949

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-10-22

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