Individual
LIDIA TSKHAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
130 W KINGSBRIDGE RD, BRONX, NY 10468-3904
(718) 584-9000
Mailing address
130 W KINGSBRIDGE RD, BRONX, NY 10468-3904
(718) 584-9000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F309527
NY
363LA2200X
Adult Health Nurse Practitioner
F309527-01
NY
Other
Enumeration date
12/22/2021
Last updated
06/30/2022
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