Itteera, Justin

Itteera, Justin is an individual health care provider with primary practice located at 79-25 Winchester Blvd , Queens Village NY 11427. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Itteera, Justin can be contacted via phone (718) 264-5030.

Contact Information

Primary practice address
79-25 Winchester Blvd Queens Village NY 11427
Phone: (718) 264-5030
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1265283972
LBN Legal business name Itteera, Justin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2024
Last updated Mar 29th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers