# LINDENWOOD MEDICAL PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811220882
- **Authorized official:** ZOYA KOROLEVA (MEDICAL DIRECTOR)
- **Authorized official phone:** (718) 954-2202

## Contact information

- **Practice address:** 11 RALPH PL STE 112, STATEN ISLAND, NY 10304-4408
- **Practice address phone:** (718) 954-2202
- **Mailing address:** 11 RALPH PL STE 112, STATEN ISLAND, NY 10304-4408
- **Mailing address phone:** (718) 954-2202

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | 251641 | NY | Yes |

## Other

- **Enumeration date:** 09/09/2009
- **Last updated:** 01/04/2022