person
Ethy Canon
Family Nurse Practitioner in New York, New York
NPI 1558139543

Ethy Canon is a Family Nurse Practitioner based in New York, NY and is specialized in Family. Ethy Canon practices in New York, NY. The NPI Number for Ethy Canon is 1558139543 and holds a License No. 423223 (New York).

The current practice location address for Ethy Canon is 302 W 148Th St Apt 3A, New York, NY and can be reached out via phone at 646-714-5511.

Location: 302 W 148Th St Apt 3A, New York, NY, 10039-2927
person
Provider Profile Details
NPI Number
1558139543
Provider Name
Ethy Canon
Credential
Provider Entity Type
Individual
Gender
Female
Address
302 W 148Th St Apt 3A, New York, NY, 10039-2927
Phone Number
646-714-5511
Fax Number
Provider Enumeration Date
12/19/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
302 W 148Th St Apt 3A
City
State
Zip
10039-2927
Phone Number
646-714-5511
Fax Number
person
Provider Business Mailing Address Details
Address
302 W 148Th St Apt 3A
City
State
Zip
10039-2927
Phone Number
646-714-5511
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
423223 (New York)
Definition
Definition to come...
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