Provider Demographics
NPI:1164232807
Name:VIOLANTE, LYNDA CHRISTINE
Entity type:Individual
Prefix:
First Name:LYNDA
Middle Name:CHRISTINE
Last Name:VIOLANTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 PINEHURST DR
Mailing Address - Street 2:
Mailing Address - City:PURCHASE
Mailing Address - State:NY
Mailing Address - Zip Code:10577-1010
Mailing Address - Country:US
Mailing Address - Phone:914-393-9167
Mailing Address - Fax:
Practice Address - Street 1:451 PARK AVE S
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-7390
Practice Address - Country:US
Practice Address - Phone:212-786-7705
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-13
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY355695363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily