JOHAIRA LIDASAN DIANALAN

FLUSHING, NY
NPI1568775104
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: NY  271857)
Enumeration Date2010-07-25
Last Update Date2021-09-22
Business Address
Dr. JOHAIRA LIDASAN DIANALAN MD
140-15 SANFORD AVE
FLUSHING, NY 11355
Phone number: 718-826-4000
Mailing Address
Dr. JOHAIRA LIDASAN DIANALAN MD
55 WATER STREET 2ND FLOOR CRED DEPT
NEW YORK, NY 10041-0004
Phone number: 646-680-2888