Individual
LIDIJA PALEZAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4321
Mailing address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4321
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
312351
NY
2080P0206X
Pediatric Gastroenterology Physician
Primary
312351
NY
Other
Enumeration date
06/29/2015
Last updated
02/13/2023
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