Individual
DR. LIDIA LIDAGOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MEDICAL DOCTOR
Contact information
Practice address
175 MEMORIAL HWY STE LL7, NEW ROCHELLE, NY 10801-5642
(212) 707-8662
(212) 582-0888
Mailing address
175 MEMORIAL HWY STE LL7, NEW ROCHELLE, NY 10801-5642
(212) 707-8662
(212) 582-0888
Taxonomy
Speciality
Code
Description
License number
State
2084B0002X
Obesity Medicine (Psychiatry & Neurology) Physician
198681
NY
2084P0015X
Psychosomatic Medicine Physician
198681
NY
2084P0800X
Psychiatry Physician
Primary
198681
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01619630
—
NY
Enumeration date
12/19/2005
Last updated
03/07/2023
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