| Eta Medical Management Inc | |
|
5407 Roosevelt Ave Woodside NY 11377-4240 | |
| (718) 205-0030 | |
| (806) 552-9573 |
| Full Name | Eta Medical Management Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5407 Roosevelt Ave, Woodside, New York |
| Authorized Official Name and Position | Kathleen Mcdermott (CEO) |
| Authorized Official Contact | 7182050030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eta Medical Management Inc 5407 Roosevelt Ave Woodside NY 11377-4240 Ph: (718) 205-0030 | Eta Medical Management Inc 5407 Roosevelt Ave Woodside NY 11377-4240 Ph: (718) 205-0030 |
| NPI Number | 1336900836 |
|---|---|
| Provider Enumeration Date | 01/22/2024 |
| Last Update Date | 09/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336900836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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