Lidia Mikolaenko

NPI #1497175228 in Nesconset, New York

Provider Information

NPI Number: 1497175228
Entity Type: Individual
Name: Lidia Mikolaenko
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Enumeration Date: Apr 19, 2014
Last Updated: Nov 28, 2022

Practice Location

Address: 59 SOUTHERN BLVD
City: Nesconset
State: New York
ZIP Code: 11767-1090
Phone: (631) 628-5000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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