Lilia B Idanan Physician, PC

NPI #1548353964 in Rego Park, New York

Provider Information

NPI Number: 1548353964
Entity Type: Organization
Organization Name: Lilia B Idanan Physician, PC
Primary Specialty: Internal Medicine
Enumeration Date: Sep 30, 2006
Last Updated: Jul 16, 2008

Practice Location

Address: 9715 64TH RD
City: Rego Park
State: New York
ZIP Code: 11374-2250
Phone: (718) 275-1200

Authorized Official

Name: LILIA IDANAN, MD
Title: PRESIDENT/ OWNER
Phone: (212) 255-2333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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