Individual
MISS CASSANDRA LEE LIDISKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
160 E 56TH ST FL 12, NEW YORK, NY 10022-3609
(212) 457-1722
(917) 388-2105
Mailing address
109 E 2ND ST APT 9, NEW YORK, NY 10009-7975
(832) 585-3808
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
027884
NY
Other
Enumeration date
01/24/2022
Last updated
10/10/2025
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