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

Individual provider General Practice Physician · NPI 1205066362

Ethel Miriam Iusim, MD is a General Practice Physician in Jackson Heights, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

95-55 Roosevelt Ave
Jackson Heights, NY 11372
Phone: (718) 478-7272
Fax: (718) 478-6455
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 191660 (NY)

Record details

NPI number1205066362
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 22, 2009
Last updated in NPPESJuly 28, 2009

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