Individual provider · Type 1 NPI

Ridaa Idriss, PA-C

Student in an Organized Health Care Education/Training Program · Bronx, NY

NPI number 1396201315 Active

Practice location

111 E 210th St
Bronx, NY 10467

Call (718) 920-4800 Map

Other practice locations

  • 35 Marcy Pl Apt 3C, Bronx, NY 10452-7336 · (914) 565-4644
  • 35 Marcy Pl Apt 3C, Bronx, NY 10452-7336 · (914) 565-4644

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1396201315

Ridaa Idriss, PA-C's National Provider Identifier is 1396201315, issued on Feb 14, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bronx, NY. The record was last updated on Jul 24, 2019.