Individual provider · Type 1 NPI
Lydia Good
Family Nurse Practitioner · Bronx, NY
NPI number
1538422381
Active
Practice location
2015 Grand Concourse
Bronx, NY 10453-4303
Fax (718) 299-6797
Mailing address
1434 Williamsbridge Rd Fl 2
Bronx, NY 10461-2507
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 643030 (NY) |
| Family Nurse Practitioner Primary | 363LF0000X | F347066 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1538422381
Lydia Good's National Provider Identifier is 1538422381, issued on Jun 18, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bronx, NY. The record was last updated on Jan 12, 2021.