Ida, Joseph Richard

Ida, Joseph Richard is an individual health care provider with primary practice located at 451 Clarkson Ave T Blg Room 606, Brooklyn NY 11203-2057. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Ida, Joseph Richard can be contacted via phone (718) 245-4485.

Contact Information

Primary practice address
451 Clarkson Ave T Blg Room 606 Brooklyn NY 11203-2057
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F332104-01 New York

Profile Details

NPI number 1366418287
LBN Legal business name Ida, Joseph Richard
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Mar 20th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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