Individual provider · Type 1 NPI
Ethel Miriam Iusim, MD
General Practice Physician · Jackson Heights, NY
NPI number
1205066362
Active
Practice location
95-55 Roosevelt Ave
Jackson Heights, NY 11372
Fax (718) 478-6455
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 191660 (NY) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Other general practice physician providers in Jackson Heights
About NPI 1205066362
Ethel Miriam Iusim, MD's National Provider Identifier is 1205066362, issued on Jul 22, 2009. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Jackson Heights, NY. The record was last updated on Jul 28, 2009.