Individual
LIA LOUISE JUDKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-6924
Mailing address
401 E 89TH ST APT 6J, NEW YORK, NY 10128-6723
(917) 685-2155
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
308072
NY
Other
Enumeration date
02/17/2017
Last updated
02/17/2017
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