Individual
JUDITH IFIDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 W KINGSBRIDGE RD, BRONX, NY 10468-3904
(718) 584-9000
Mailing address
39 ROSSITER AVE, YONKERS, NY 10701-5008
(646) 320-7234
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
F348187-01
NY
Other
Enumeration date
01/19/2022
Last updated
01/19/2022
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