Individual
DR. LIDIA ANNA SWINKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
55 PURICK ST, BAYPORT, NY 11705-1505
(631) 472-4246
Mailing address
55 PURICK ST, BAYPORT, NY 11705-1505
(631) 472-4246
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
024294
NY
103TS0200X
School Psychologist
—
—
Other
Enumeration date
12/28/2012
Last updated
05/04/2021
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