| Doctor Name: | LIANA R YODER-HEGDE |
| NPI Number: | 1164626388 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.O. |
| License Number: | 244483 |
| Business Practice Address: | 80 Old Riverhead Rd Westhampton Beach, NY - 119781401 |
| Business Phone Number: | 6312887746 |
| Business Fax Number: | 6312887111 |
| Mailing Address: | 80 Old Riverhead Rd, WESTHAMPTON BEACH |
| State: | NY |
| Postal Code: | 119781401 |
| Phone Number: | 6312887746 |
| Fax Number: | 6312887111 |
| NPI Enumeration Date: | 06/12/2007 |
| NPI Last Update Date: | 12/03/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QA0505X |
| License Number: | 244483 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Adult Medicine |
| Taxonomy Definition: | |