Mathura, Vidya Lystra

Mathura, Vidya Lystra is an individual health care provider with primary practice located at 4125 Carpenter Avenue , Bronx NY 10466-1069. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Mathura, Vidya Lystra can be contacted via phone (718) 655-0261.

Contact Information

Primary practice address
4125 Carpenter Avenue Bronx NY 10466-1069
Phone: (718) 655-0261
Fax: (718) 654-7930
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 018126-1 New York

Profile Details

NPI number 1093015299
LBN Legal business name Mathura, Vidya Lystra
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 22nd, 2010
Last updated Sep 12th, 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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