Individual provider · NPI-1

Lia Kostrikov, FNP

Nurse Practitioner, Family · Babylon, NY

NPI number1457696734
StatusActive
Last updated in NPPESJun 24, 2024

Details

NPI
1457696734
Entity type
Individual (NPI-1)
Name
Lia Kostrikov
Credential
FNP
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 28, 2012
Certification date
Jun 24, 2024
Last updated
Jun 24, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyF349407-01NYYes
163W00000X Registered Nurse654324NY

Practice location

400 W Main St Ste 211
Babylon, NY 11702-3009

Phone 212-283-3000

Mailing address

400 W Main St Ste 211
Babylon, NY 11702-3009

Phone 212-283-3000

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