Individual
MS. LYNETTE LIVINGSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,MSN
Contact information
Practice address
205 LEXINGTON AVE, NEW YORK, NY 10016-6022
(718) 732-7171
Mailing address
11818 221ST ST, CAMBRIA HEIGHTS, NY 11411-2013
(718) 210-8960
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
380598-1
NY
163WG0600X
Gerontology Registered Nurse
380598-1
NY
163WM0705X
Medical-Surgical Registered Nurse
380598-1
NY
163WP2201X
Ambulatory Care Registered Nurse
380598-1
NY
302F00000X
Exclusive Provider Organization
Primary
380598-1
NY
Other
Enumeration date
12/04/2010
Last updated
03/03/2016
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