Individual
MRS. ANGELA PATRICIA LIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
745 E 231ST ST APT 4F, BRONX, NY 10466-4175
(718) 664-0298
Mailing address
745 E 231ST ST APT 4F, BRONX, NY 10466-4175
(718) 664-0298
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
320059
NY
Other
Enumeration date
12/14/2014
Last updated
12/14/2014
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