Search › New York › 174400000X
Nydia Southerland
NPI 1497469209 · on the registry since 2023 · sole proprietor
Practice
- Address
- 3523 Clarendon Rd
Brooklyn, NY 11203 - Phone
- (347) 873-9864
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-01-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York