Provider Demographics
NPI:1063894970
Name:LIRIANO, LIDIA
Entity type:Individual
Prefix:
First Name:LIDIA
Middle Name:
Last Name:LIRIANO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 NASSAU ST
Mailing Address - Street 2:SUITE 220
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038-2400
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:132 NASSAU ST
Practice Address - Street 2:SUITE 220
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-2400
Practice Address - Country:US
Practice Address - Phone:212-732-5427
Practice Address - Fax:212-964-9607
Is Sole Proprietor?:No
Enumeration Date:2015-06-26
Last Update Date:2015-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist