Individual
DR. LILIYA KOYFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
50 HEALTH LN, WARWICK, RI 02886-2711
(401) 738-4300
(401) 738-7718
Mailing address
2756 POST RD, #100, WARWICK, RI 02886-3003
(401) 738-4300
(401) 738-7718
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD9518
RI
2084P0800X
Psychiatry Physician
Primary
MD09518
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15-05469
UBH PROVIDER ID
RI
01
—
30113-6
BLUE CROSS PROVIDER ID
RI
01
—
407215
BLUE CHIP PROVIDER ID
RI
05
—
7006353
—
RI
01
—
MD9518
MD LICENSE
RI
Enumeration date
06/16/2006
Last updated
03/07/2023
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