Individual provider · Type 1 NPI

Lidia B. Koulova, MD

Hematology & Oncology Physician · Goshen, NY

NPI number 1467431999 Active

Practice location

70 Hatfield Ln, Suite 101
Goshen, NY 10924-6734

Fax (845) 294-1669

Mailing address

20 Grand St, 3rd Fl
Warwick, NY 10990-1035

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000X234815 (NY)
Hematology & Oncology Physician Primary 207RH0003X234815 (NY)

Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

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About NPI 1467431999

Lidia B. Koulova, MD's National Provider Identifier is 1467431999, issued on Jan 12, 2006. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Goshen, NY. The record was last updated on Jul 3, 2018.