LILIA B IDANAN PHYSICIAN, PC
Osteopathic Medicine at 64 Rd, Flushing, NY

License number
New York 184732
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: LILIA IDANAN MD
Title: PRESIDENT/ OWNER
Phone: (212) 255-2333
Address
Address 2
9715 64Th Rd, Flushing, NY 11374
153 Crescent Dr, Albertson, NY 11507
National Provider ID: 1548353964
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LILIA B IDANAN PHYSICIAN, PC

153 Cres Dr, Albertson, NY 11507

Registration:
Apr 23, 2004
State ID:
3044258
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Lilia B Idanan Md, 153 Cres Dr, Albertson, NY 11507 (Physical)

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