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NPI Code Detail

MEDICARE: DR. LYDA E. ROJAS CARROLL MD

MEDICARE: DR. LYDA E. ROJAS CARROLL MD
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
1208600000XSurgery Physician186973NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1932180528
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LYDA E. ROJAS CARROLL MD
Provider Business Mailing Address
First Line : 672 STONELEIGH AVE
Second Line :
City : CARMEL
State : NY
Zip : 10512-3990
Country : US
Telephone Number : 845-278-6777
Fax Number :
Provider Business Practice Location Address
First Line : 672 STONELEIGH AVE
Second Line :
City : CARMEL
State : NY
Zip : 10512-3990
Country : US
Telephone Number : 845-278-6777
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2005
Last Update Date : 11/30/2009

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