NPI 1588392617

Bianca Lyder, CERTIFIEDHAIRLOSS

Practitioner Prosthetist New York, NY

Practice location

Address: 10 E 138th St APT 12d, New York, NY 10037-2037
Phone: (917) 209-5099

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence 22LY0113056 (NY)

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Registry record

NPI: 1588392617
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Aug 2022
Record last updated: 26 Oct 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.