Ethy Canon
Ethy Canon is a Family Nurse Practitioner in New York, New York. Licensed in New York. Registered with an NPI since 2023.
- Licensed in
- NY
- In the registry since
- 2023
Practice location Address checks out
302 W 148th St Apt 3ANew York, NY 10039-2927
Phone: (646) 714-5511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 423223 (NY) |
|---|
Record details
| NPI number | 1558139543 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 19, 2023 |
| Last updated in NPPES | December 19, 2023 |
| Certification date | December 19, 2023 |
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