Individual provider · Type 1 NPI
Joseph Richard Ida, NP
Family Nurse Practitioner · Brooklyn, NY
NPI number
1366418287
Active
Practice location
451 Clarkson Ave, T Blg Room 606
Brooklyn, NY 11203-2057
Mailing address
42 Seaman Ave
Rockville Center, NY 11570-2429
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | F332104-01 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1366418287
Joseph Richard Ida, NP's National Provider Identifier is 1366418287, issued on Feb 28, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Brooklyn, NY. The record was last updated on Mar 20, 2013.