Provider Demographics
NPI:1629719893
Name:TURCHIOE, LYDIA NIETO (DDS)
Entity Type:Individual
Prefix:DR
First Name:LYDIA
Middle Name:NIETO
Last Name:TURCHIOE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:LYDIA
Other - Middle Name:
Other - Last Name:NIETO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:474 48TH AVE APT 25M
Mailing Address - Street 2:
Mailing Address - City:LONG ISLAND CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11109-5620
Mailing Address - Country:US
Mailing Address - Phone:718-755-9685
Mailing Address - Fax:
Practice Address - Street 1:JACOBI MEDICAL CENTER
Practice Address - Street 2:1400 PELHAM PARKWAY SOUTH
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461
Practice Address - Country:US
Practice Address - Phone:718-755-9685
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-05
Last Update Date:2022-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program