Individual
DR. MARTIN JOSEPH LYDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
267 HOOSICK ST, TROY, NY 12180-2467
(518) 271-6949
(518) 449-7965
Mailing address
1807 9TH ST, RENSSELAER, NY 12144-1420
(518) 271-6949
(518) 449-7965
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
006029
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000490239002
BLUE SHIELD OF NENY
NY
05
—
00568790
—
NY
01
—
141721313
VALUEOPTIONS
NY
01
—
41171
MVP
NY
01
—
58184
CIGNA
NY
01
—
6111201
UNITED BEHAVIORAL HEALTH
NY
Enumeration date
10/20/2005
Last updated
10/08/2010
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