Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. LIDIYA SHESTOPEROVA, P.A.
Active Sole ProprietorMRS. LIDIYA SHESTOPEROVA, P.A. is a Physician Assistant healthcare provider located in STATEN ISLAND, New York. NPI 1255575312 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · STATEN ISLAND, NY
Registration Details
- NPI Number
- 1255575312
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 20, 2009 (17.309604916078 yrs)
- Last Updated
- Apr 20, 2009
- License
-
013225 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
71 CEDARVIEW AVESTATEN ISLAND, NY, 103062048Browse NY providers · Browse ZIP 10306
- Phone
- 3472512099
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in STATEN ISLAND, NY
| Name | Credential | NPI |
|---|---|---|
| ELAINA M CAPORALE | PA-C | 1275524043 |
| CLARE A BEAGEN-MCHUGH | PA | 1295718856 |
| MRS. WENDY ALEXANDRA SIMONS | PHYSICIAN ASSISTANT | 1124095328 |
| ROBERT F CARLUCCI | MD | 1386603405 |
| JAMES VINCENT RUSSO | PA | 1194785725 |
| DANIELLE MARIE GRANDNER | PA | 1053371591 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.