Individual
LINDA TEWKSBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
462 1ST AVE, NEW YORK, NY 10016-9196
(212) 562-6430
Mailing address
395 RIVERSIDE DR APT 11A, NEW YORK, NY 10025-1846
(212) 864-5769
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
188758
NY
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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