Individual
LYDIA J ANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R PAC
Contact information
Practice address
5700 W GENESEE ST, SUITE 132, CAMILLUS, NY 13031-3200
(315) 487-5858
(315) 487-1950
Mailing address
PO BOX 2003, EAST SYRACUSE, NY 13057-4503
(315) 446-3904
(315) 445-2936
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
010011
NY
Other
Enumeration date
03/03/2006
Last updated
10/20/2011
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