Iusim, Ethel Miriam
Iusim, Ethel Miriam is an sole proprietor health care provider with primary practice located at 95-55 Roosevelt Ave , Jackson Heights NY 11372. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Iusim, Ethel Miriam can be contacted via phone (718) 478-7272.Contact Information
Primary practice address
95-55 Roosevelt Ave
Jackson Heights NY 11372
Phone: (718) 478-7272
Fax: (718) 478-6455
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 191660 | New York |
Profile Details
| NPI number | 1205066362 |
|---|---|
| LBN Legal business name | Iusim, Ethel Miriam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 22nd, 2009 |
| Last updated | Jul 28th, 2009 - about 17 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.
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