Vidya Lystra Mathura

NPI 1093015299 - Occupational Therapist - 225XP0200X

NPI Details
NPI 1093015299
Gender Female
Enumeration Date 10/22/2010
Last Updated 09/12/2013
Entity Type Individual
Active Over 6 years ago
Practice Location
BRONX NY, 10466-1069, US
Phone (718) 655-0261
Fax (718) 654-7930
Business Location
1186 KING ST
RYE BROOK NY, 10573-1069, US
Phone (914) 937-3800
Taxonomy Code 225XP0200X
License State New York
License Number 018126-1
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According to our database, Vidya Lystra Mathura NPI is 1093015299, taxonomy code is 225XP0200X and license number is 018126-1, license state is located at New York. Vidya Lystra Mathura physically located at 4125 Carpenter Avenue, Bronx NY, 10466-1069. NPI Number Vidya Lystra Mathura has the Individual type.

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1093015299 NPI number is provided on an as is basis without warranty of any kind. 1093015299 is maintained by the National Plan & Provider Enumeration System. The contents of Vidya Lystra Mathura are for informational purposes only.