Linda I. Lizogubenko PA

NPI 1134249147 - Internal Medicine - 207R00000X

NPI Details
NPI 1134249147
Gender Female
Enumeration Date 03/31/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
27005 76TH AVE
NEW HYDE PARK NY, 11040-1433, US
Phone (718) 470-7270
Fax (718) 470-0827
Business Location
972 BRUSH HOLLOW RD
WESTBURY NY, 11590-1740, US
Phone (516) 876-5555
Fax (516) 876-1246
Toxanomy
Taxonomy Code 207R00000X
License State New York
License Number 009887
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According to our database, Ms. Linda I. Lizogubenko PA NPI is 1134249147, taxonomy code is 207R00000X and license number is 009887, license state is located at New York. Linda I. Lizogubenko PA physically located at 27005 76th Ave, New Hyde Park NY, 11040-1433. NPI Number Linda I. Lizogubenko PA has the Individual type.

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1134249147 NPI number is provided on an as is basis without warranty of any kind. 1134249147 is maintained by the National Plan & Provider Enumeration System. The contents of Linda I. Lizogubenko PA are for informational purposes only.