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

Lidia Mikolaenko

Individual provider Family Medicine Physician · NPI 1497175228

Lidia Mikolaenko is a Family Medicine Physician in Nesconset, New York. Works from 2 locations. Licensed in Connecticut and New York.

Licensed in
CT, NY
In the registry since
2014
Specialties on file
2

Practice location Address checks out

59 Southern Blvd
Nesconset, NY 11767-1090
Phone: (631) 628-5000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3125 Transverse Dr, Toledo, OH 43614-8008 — (419) 383-3771

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 290112 (NY)
Family Medicine Physician Taxonomy 207Q00000X · Licence 57241 (CT)

Record details

NPI number1497175228
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 19, 2014
Last updated in NPPESNovember 28, 2022
Certification dateNovember 28, 2022
Mailing address59 Southern Blvd, Nesconset, NY 11767-1090

Other providers in Nesconset