Individual
DR. LYUDMILA VALDMAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
554 LARKFIELD RD, STE 203, EAST NORTHPORT, NY 11731-4205
(631) 266-6870
(631) 266-2548
Mailing address
22 LUCILLE LN, DIX HILLS, NY 11746-5810
(631) 423-9883
(631) 423-9883
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
167985-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000020
GHI
NY
05
—
00975764
—
NY
01
—
045033
AETNA
NY
01
—
11326
VYTRA HEALTH PLANS
NY
01
—
83D413
BLUE CROSS & BLUE SHIELD
NY
01
—
P1677038
OXFORD HEALTH PLANS
NY
Enumeration date
01/16/2006
Last updated
07/08/2007
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