Individual
IDA TETRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6960 108TH ST, SUITE 108, FOREST HILLS, NY 11375-4323
(718) 263-0200
(718) 263-0205
Mailing address
6960 108TH ST, SUITE 108, FOREST HILLS, NY 11375-4323
(718) 263-0200
(718) 263-0205
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
220405
NY
207R00000X
Internal Medicine Physician
220405
NY
Other
Enumeration date
02/21/2007
Last updated
03/04/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us