Healthcare Provider Details

I. General information

NPI: 1902392657
Provider Name (Legal Business Name): LYDIA AKITE-WASHINGTON NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/05/2018
Last Update Date: 07/22/2024
Certification Date: 07/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 SPRING VALLEY RD
OSSINING NY
10562-2001
US

IV. Provider business mailing address

71 COUNTRY SIDE CT
MIDDLETOWN NY
10941-3161
US

V. Phone/Fax

Practice location:
  • Phone: 914-333-7000
  • Fax:
Mailing address:
  • Phone: 914-356-6589
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberF353616
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: