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

Lisette Luzolo Kiadidi, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1437007689

Lisette Luzolo Kiadidi, MD is a Student in an Organized Health Care Education/Training Program in Staten Island, New York. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

355 Bard Ave
Staten Island, NY 10310-1699
Phone: (844) 934-2273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1437007689
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 20, 2026
Last updated in NPPESMarch 20, 2026
Certification dateMarch 20, 2026

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