Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Eta Medical Management Inc

Organization Internal Medicine Physician · NPI 1336900836

Eta Medical Management Inc is an Internal Medicine Physician in Woodside, New York. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5407 Roosevelt Ave
Woodside, NY 11377-4240
Phone: (718) 205-0030
Fax: (806) 552-9573
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1336900836
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathleen McDermott — Ceo · (718) 205-0030
NPI enumeratedJanuary 22, 2024
Last updated in NPPESSeptember 23, 2024
Certification dateSeptember 23, 2024
Mailing address5407 Roosevelt Ave, Woodside, NY 11377-4240

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