| Doctor Name: | DR. LIDIA M EPEL |
| NPI Number: | 1336170273 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DDS |
| License Number: | 29774 |
| Business Practice Address: | 165 North Village Ave Suite 102 Rockville Centre, NY - 11570 |
| Business Phone Number: | 5167666430 |
| Business Fax Number: | 5167665139 |
| Mailing Address: | 165 North Village Ave, Suite 102 ROCKVILLE CENTRE |
| State: | NY |
| Postal Code: | 11570 |
| Phone Number: | 5167666430 |
| Fax Number: | 5167665139 |
| NPI Enumeration Date: | 07/06/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 29774 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |