Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lilia B Idanan Physician, PC

Organization Internal Medicine Physician · NPI 1548353964

Lilia B Idanan Physician, PC is an Internal Medicine Physician in Rego Park, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9715 64th Rd
Rego Park, NY 11374-2250
Phone: (718) 275-1200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 184732 (NY)

Record details

NPI number1548353964
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lilia Idanan — President/ Owner · (212) 255-2333
NPI enumeratedSeptember 30, 2006
Last updated in NPPESJuly 16, 2008
Mailing address153 Crescent Dr, Albertson, NY 11507-1103

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