Individual provider · Type 1 NPI

Nydia Diane Southerland

Specialist · Brooklyn, NY

NPI number 1497469209 Active

Practice location

3523 Clarendon Rd
Brooklyn, NY 11203-5101

Call (347) 873-9864 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X843246 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1497469209

Nydia Diane Southerland's National Provider Identifier is 1497469209, issued on Jan 6, 2023. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Brooklyn, NY. The record was last updated on Jan 6, 2023.