Iusim, Ethel Miriam

Iusim, Ethel Miriam is an sole proprietor health care provider with primary practice located at 95-55 Roosevelt Ave , Jackson Heights NY 11372. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Iusim, Ethel Miriam can be contacted via phone (718) 478-7272.

Contact Information

Primary practice address
95-55 Roosevelt Ave Jackson Heights NY 11372
Fax: (718) 478-6455
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 191660 New York

Profile Details

NPI number 1205066362
LBN Legal business name Iusim, Ethel Miriam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 22nd, 2009
Last updated Jul 28th, 2009 - about 16 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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