Provider Demographics
NPI:1992963946
Name:EBEDE, TOBECHI LYNDA (MD)
Entity type:Individual
Prefix:DR
First Name:TOBECHI
Middle Name:LYNDA
Last Name:EBEDE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:26 COURT ST
Mailing Address - Street 2:SUITE 1005
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11242-0103
Mailing Address - Country:US
Mailing Address - Phone:718-522-6647
Mailing Address - Fax:718-858-2461
Practice Address - Street 1:26 COURT ST
Practice Address - Street 2:SUITE 1005
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11242-0103
Practice Address - Country:US
Practice Address - Phone:718-522-6647
Practice Address - Fax:718-858-2461
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-27
Last Update Date:2016-06-16
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Provider Licenses
StateLicense IDTaxonomies
NY245700207N00000X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology