Provider Demographics
NPI:1750443610
Name:NACHTIGALL, LILA E (MD)
Entity type:Individual
Prefix:DR
First Name:LILA
Middle Name:E
Last Name:NACHTIGALL
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Gender:F
Credentials:MD
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Mailing Address - Street 1:355 RIVERSIDE DR
Mailing Address - Street 2:9W
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-2759
Mailing Address - Country:US
Mailing Address - Phone:212-779-8353
Mailing Address - Fax:212-779-8432
Practice Address - Street 1:251 E 33RD ST
Practice Address - Street 2:5TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-4804
Practice Address - Country:US
Practice Address - Phone:212-779-8353
Practice Address - Fax:212-779-8432
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-15
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NY086367207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYB10501Medicare UPIN