Individual
LILIAN KEBUDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
419 E 86TH ST, NEW YORK, NY 10028-6402
(212) 369-2010
Mailing address
419 E 86TH ST, NEW YORK, NY 10028-6402
(212) 369-2010
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128
—
NY
Enumeration date
02/02/2022
Last updated
02/02/2022
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