Individual
LIDIA PRUSAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
400 MAIN ST, ANSONIA, CT 06401-2330
(203) 735-9536
Mailing address
400 MAIN ST, ANSONIA, CT 06401-2330
(203) 735-9536
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7207
CT
Other
Enumeration date
08/23/2025
Last updated
11/19/2025
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