Ciarallo, Lydia

Ciarallo, Lydia is an individual health care provider with primary practice located at 593 Eddy St Claverick 2, Providence RI 02903-4923. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is her primary health care specialty. Ciarallo, Lydia can be contacted via phone (401) 854-2504.

Contact Information

Primary practice address
593 Eddy St Claverick 2 Providence RI 02903-4923
Phone: (401) 854-2504
Fax: (401) 854-2519
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD 08720 Rhode Island
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X MD 08720 Rhode Island

Profile Details

NPI number 1740390228
LBN Legal business name Ciarallo, Lydia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Sep 17th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740390228 NPPES
Rhode Island Other 04/15/2009 UNITED HEALTHCARE
Rhode Island Other 11/12/2009 UNITED HEALTHCARE
Rhode Island Other 939025129 UNITED HEALTHCARE
Rhode Island Other 007005767 UNITED HEALTHCARE
Rhode Island Other 3184692 UNITED HEALTHCARE
Rhode Island Other 1740390228 UNITED HEALTHCARE
Rhode Island MEDICAID 7004646 UNITED HEALTHCARE
Rhode Island Other 12/29/2008 UNITED HEALTHCARE
Rhode Island Other 405830 UNITED HEALTHCARE

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