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NPI Code Detail

MEDICARE: LEILA LILDAR

MEDICARE: LEILA LILDAR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerF3423531NY

General Provider Information

NPI Number : 1821627662
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEILA LILDAR
Provider Business Mailing Address
First Line : 1797 PITKIN AVE STE 2
Second Line :
City : BROOKLYN
State : NY
Zip : 11212-7844
Country : US
Telephone Number : 718-971-1944
Fax Number :
Provider Business Practice Location Address
First Line : 1797 PITKIN AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11212-7839
Country : US
Telephone Number : 719-971-1944
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2020
Last Update Date : 09/05/2023

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Directions to “ LEILA LILDAR ” Practice Location

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