Individual
DR. LYDIA V GRISHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1365 YORK AVE, SUITE 19F, NEW YORK, NY 10021-4035
(917) 415-8420
(704) 296-2305
Mailing address
1365 YORK AVE, SUITE 19F, NEW YORK, NY 10021-4035
(917) 415-8420
(704) 296-2305
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
223066
NY
Other
Enumeration date
05/26/2006
Last updated
02/06/2008
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