Organization
ETA MEDICAL MANAGEMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN MCDERMOTT (CEO)
(718) 205-0030
Entity
Organization
Contact information
Practice address
5407 ROOSEVELT AVE, WOODSIDE, NY 11377-4240
(718) 205-0030
(806) 552-9573
Mailing address
5407 ROOSEVELT AVE, WOODSIDE, NY 11377-4240
(718) 205-0030
(806) 552-9573
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/22/2024
Last updated
09/23/2024
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