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 7 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.

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.