Most Relevant Information
Provider Data
| NPI Number: | 1003581471 |
| Provider Name: | LYDIA TESSARO |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/09/2021 |
| Last Updated: | 08/09/2021 |
Provider Practice Location
256 WASHINGTON ST STE 2
MOUNT VERNON
NY
105531056
Practice Location Phone/Fax
| Phone: | 9146130700 |
| Fax: |
Provider Mailing Location
256 WASHINGTON ST
MOUNT VERNON
NY
105531052
Provider Mailing Phone/Fax
| Phone: | 8455875578 |
| Fax: |