Individual
LYNDA A FICILI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
99 EAST STATE STREET, GLOVERSVILLE, NY 12078, NY 12078
(518) 775-4201
(518) 775-4225
Mailing address
99 EAST STATE STREET, PO BOX 1250, GLOVERSVILLE, NY 12078, NY 12078
(518) 775-4201
(518) 775-4225
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F300895
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
985487
MVP HEALTHPLAN
NY
Enumeration date
08/25/2006
Last updated
01/17/2011
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