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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1114903465 | NPPES |
New York | MEDICAID | 01619630 |
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