Koulova, Lidia B

Koulova, Lidia B is an individual health care provider with primary practice located at 70 Hatfield Ln Suite 101, Goshen NY 10924-6734. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is her primary health care specialty. Koulova, Lidia B can be contacted via phone (845) 294-8888.

Contact Information

Primary practice address
70 Hatfield Ln Suite 101 Goshen NY 10924-6734
Phone: (845) 294-8888
Fax: (845) 294-1669
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 234815 New York
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 234815 New York

Profile Details

NPI number 1467431999
LBN Legal business name Koulova, Lidia B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2006
Last updated Jul 3rd, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467431999 NPPES
New York MEDICAID 02638984
New York Other P00244709

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