ETHEL M. IUSIM M.D. – NPI #1205066362
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

ETHEL IUSIM is a physician located in JACKSON HEIGHTS, NY. NPPES has assigned the NPI number 1205066362 to ETHEL IUSIM on July 22, 2009. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 17 years ago on Jul 28, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ETHEL IUSIM below.

NPI Profile for
ETHEL M. IUSIM

NPI Number
1205066362
Enumeration Date

(about 17 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
ETHEL M. IUSIM
Credentials
M.D.
Primary location
95-55 ROOSEVELT AVE
JACKSON HEIGHTS, NY 11372
Phone: (718) 478-7272 Fax: (718) 478-6455
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
NY 191660

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.