Individual provider · Type 1 NPI
Lyalya Logush, NP
Family Nurse Practitioner · New York, NY
NPI number
1689390312
Active
Practice location
700 Columbus Ave Apt 7H
New York, NY 10025-6623
Mailing address
55 Water St Fl 2
New York, NY 10041-0010
Other practice locations
- 215 E 95th St Frnt 1, New York, NY 10128-4077 · (212) 996-8000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | F350496 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1689390312
Lyalya Logush, NP's National Provider Identifier is 1689390312, issued on Oct 14, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in New York, NY. The record was last updated on Nov 6, 2024.