Individual
MISS LYDIA JILL YEAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
65 BROADWAY FL 14, NEW YORK, NY 10006-2516
(212) 348-4000
Mailing address
65 BROADWAY FL 14, NEW YORK, NY 10006-2516
(212) 348-4000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
382502
NY
Other
Enumeration date
11/14/2014
Last updated
12/02/2024
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