Lydia Keogh
Nurse Practitioner - Gerontology
130 W Kingsbridge Rd
Bronx
, New York 10468-3904
Lydia Keogh
Nurse Practitioner - Gerontology
130 W Kingsbridge Rd
Bronx
, New York 10468-3904
(718) 324-5510
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About
Features
Specialties
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Lydia Keogh
- 360 E 234th St Apt 2i
- Bronx, NY
- Zip : 10470-2230
- Phone : (718) 324-5510
Second Address
- Lydia Keogh
- 130 W Kingsbridge Rd
- Bronx, NY
- Zip : 10468-3904
- Phone : (718) 584-9000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LG0600X | Nurse Practitioner - Gerontology | F340067 | NY |
National Provider Identifier
| NPI | 1043396351 |
|---|---|
| Provider Name | Lydia Keogh |
| First Address | Bronx, NY 10470-2230 |
| Second Address | Bronx, NY 10468-3904 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/10/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.