Individual
LIDIA MIKOLAENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
59 SOUTHERN BLVD, NESCONSET, NY 11767-1090
(631) 628-5000
Mailing address
59 SOUTHERN BLVD, NESCONSET, NY 11767-1090
(631) 628-5000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
290112
NY
207Q00000X
Family Medicine Physician
57241
CT
Other
Enumeration date
04/19/2014
Last updated
11/28/2022
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