Individual provider · Type 1 NPI
Judith Ifidon
Primary Care Nurse Practitioner · Bronx, NY
NPI number
1952053233
Active
Practice location
130 W Kingsbridge Rd
Bronx, NY 10468-3904
Mailing address
39 Rossiter Ave
Yonkers, NY 10701-5008
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | F348187-01 (NY) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1952053233
Judith Ifidon's National Provider Identifier is 1952053233, issued on Jan 19, 2022. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Bronx, NY. The record was last updated on Jan 19, 2022.