Lydia Carra
Registered Nurse in New York, NY. Individual provider (NPI-1).
NPI number1972331007
StatusActive
Last updated in NPPESAug 20, 2025
Details
- NPI
- 1972331007
- Entity type
- Individual (NPI-1)
- Name
- Lydia Carra
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 22, 2024
- Certification date
- Aug 20, 2025
- Last updated
- Aug 20, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 702529 | NY | Yes |
| 163WC0200X | Registered Nurse, Critical Care Medicine | 26NR23973300 | NJ |
Practice location
1275 York AveNew York, NY 10065-6007
Phone 212-639-2000
Mailing address
11 North AveBridgewater, NJ 08807-2616
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