Individual provider · Type 1 NPI

Ida Tetro, MD

Family Medicine Physician · Forest Hills, NY

NPI number 1649315243 Active

Practice location

6960 108th St, Suite 108
Forest Hills, NY 11375-4323

Call (718) 263-0200 Map

Fax (718) 263-0205

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000X220405 (NY)
Family Medicine Physician Primary 207Q00000X220405 (NY)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1649315243

Ida Tetro, MD's National Provider Identifier is 1649315243, issued on Feb 21, 2007. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Forest Hills, NY. The record was last updated on Mar 4, 2025.