Individual
MISS KYLE LIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PEER SPECIALIST
Contact information
Practice address
1101 MAIN ST, PEEKSKILL, NY 10566-2907
(914) 737-7338
(914) 737-1050
Mailing address
845 N BROADWAY, WHITE PLAINS, NY 10603-2403
(914) 761-0600
(914) 737-1050
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
NYCPS-P-5245
NY
Other
Enumeration date
05/24/2024
Last updated
05/24/2024
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