Lidagoster, Lidia

Lidagoster, Lidia is an sole proprietor health care provider with primary practice located at 175 Memorial Hwy Ste Ll7 , New Rochelle NY 10801-5642. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obesity Medicine, Allopathic & Osteopathic Physicians / Psychosomatic Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Lidagoster, Lidia can be contacted via phone (212) 707-8662.

Contact Information

Primary practice address
175 Memorial Hwy Ste Ll7 New Rochelle NY 10801-5642
Phone: (212) 707-8662
Fax: (212) 582-0888
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obesity Medicine 2084B0002X 198681 New York
Allopathic & Osteopathic Physicians / Psychosomatic Medicine 2084P0015X 198681 New York
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 198681 New York

Profile Details

NPI number 1114903465
LBN Legal business name Lidagoster, Lidia
Credentials MEDICAL DOCTOR
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 2005
Last updated Mar 7th, 2023 - about 2 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 1114903465 NPPES
New York MEDICAID 01619630

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