Sarah Michaela Lidov, M.D
Radiology, Diagnostic Radiology in New York, NY. Individual provider (NPI-1).
NPI number1982631925
StatusActive
Last updated in NPPESJan 6, 2015
Details
- NPI
- 1982631925
- Entity type
- Individual (NPI-1)
- Name
- Sarah Michaela Lidov
- Credential
- M.D
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 26, 2006
- Last updated
- Jan 6, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | 158128 | NY | Yes |
| 2085R0205X | Radiology, Radiological Physics | 158128 | NY | |
| 2085N0700X | 158128 | NY |
Practice location
1 Gustave L. Levy PlaceBox 1194
New York, NY 10029-6574
Phone 212-241-8395 · Fax 212-590-2982
Mailing address
1 Gustave L. Levy PlaceBox 1194
New York, NY 10029-6574
Phone 212-241-8395 · Fax 212-289-0092
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