Provider Demographics
NPI:1871807115
Name:PIBOON, LYNDA S (MD)
Entity type:Individual
Prefix:DR
First Name:LYNDA
Middle Name:S
Last Name:PIBOON
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:372 POST AVE
Mailing Address - Street 2:SUITE 106
Mailing Address - City:WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11590-2201
Mailing Address - Country:US
Mailing Address - Phone:516-333-1444
Mailing Address - Fax:516-333-2725
Practice Address - Street 1:372 POST AVE
Practice Address - Street 2:SUITE 106
Practice Address - City:WESTBURY
Practice Address - State:NY
Practice Address - Zip Code:11590-2201
Practice Address - Country:US
Practice Address - Phone:516-333-1444
Practice Address - Fax:516-333-2725
Is Sole Proprietor?:No
Enumeration Date:2010-07-28
Last Update Date:2014-09-16
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Provider Licenses
StateLicense IDTaxonomies
NY276137207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology