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Individual

LYDIA KEOGH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
130 W KINGSBRIDGE RD, BRONX, NY 10468-3904
(718) 584-9000
Mailing address
360 E 234TH ST APT 2I, BRONX, NY 10470-2230
(718) 324-5510

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
F340067
NY

Other

Enumeration date
10/29/2006
Last updated
07/08/2007
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