Individual
DR. LYNDA MARGARET STIDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
25 E MAIN ST, SPRINGVILLE, NY 14141-1244
(716) 592-2832
(716) 592-4452
Mailing address
32 WOODSTOCK RD, GLENWOOD, NY 14069-9632
(716) 592-4842
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
171500
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01051481
—
NY
01
—
171500
NYS LICENSE
NY
Enumeration date
04/25/2006
Last updated
03/07/2023
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