Lidia Koulova (NPI# 1467431999, PAC ID# 2466498613) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HEMATOLOGY.
| Nation Provider ID (NPI) | 1467431999 |
| PAC ID by PECOS | 2466498613 |
| Professional Enrollment ID | I20050628001315 |
| Full Name | Lidia Koulova |
| Organization Legal Name | BON SECOURS CHARITY HEALTH SYSTEM MEDICAL GROUP, P.C. |
| Address |
70 Hatfield Ln Goshen NY 10924-6734 |
| Phone Number | 8452948888 |
| Gender | F |
| Credential | MD |
| Graduation Year | 1979 |
| Primary Specialty | HEMATOLOGY |
| Secondary Specialties | HEMATOLOGY/ONCOLOGY, INTERNAL MEDICINE |
| Group Practice PAC ID | 1658262084 |
| Number of Group Practice Members | 164 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330205 | ST ANTHONY COMMUNITY HOSPITAL |
| 330126 | ORANGE REGIONAL MEDICAL CENTER |
| 330135 | BON SECOURS COMMUNITY HOSPITAL |
| 330264 | ST LUKE'S CORNWALL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 70 Hatfield Ln, Goshen, NY 10924-6734 | 8452948888 | BON SECOURS CHARITY HEALTH SYSTEM MEDICAL GROUP, P.C. |
| 161 E Main St, Suite 300 301, Port Jervis, NY 12771-2113 | 8458563812 | BON SECOURS CHARITY HEALTH SYSTEM MEDICAL GROUP, P.C. |
| Organization Legal Name | BON SECOURS CHARITY HEALTH SYSTEM MEDICAL GROUP, P.C. |
| Physicians | 162 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Arthi Senra | Family Medicine | Bon Secours Charity Health System Medical Group, P.C. | 27 Liberty Square Mall, Stony Point, NY 10980-2400 |
| Lisa Hirsch | Internal Medicine | Bon Secours Charity Health System Medical Group, P.C. | 26 Firemens Memorial Dr, Pomona, NY 10970-3553 |
| Alicia Olmoz | Nurse Practitioner | Bon Secours Charity Health System Medical Group, P.C. | 255 Lafayette Ave, Suffern, NY 10901-4812 |
| Sanju Varghese | Nurse Practitioner | Bon Secours Charity Health System Medical Group, P.C. | 10 Franklin Turnpike, Mahwah, NJ 07430 |
| Andrew Najovits | Cardiovascular Disease (cardiology) | Bon Secours Charity Health System Medical Group, P.C. | 257 Lafayette Ave, Suffern, NY 10901-4830 |
| Gopal Shah | Internal Medicine | Bon Secours Charity Health System Medical Group, P.C. | 20 Grand St, Fl 3, Warwick, NY 10990-1035 |
| Walter Ernst Kaufmann | Cardiovascular Disease (cardiology) | Bon Secours Charity Health System Medical Group, P.C. | 5 Skinner St, Port Jervis, NY 12771-2226 |
| Martin L Evers | Internal Medicine | Bon Secours Charity Health System Medical Group, P.C. | 104 Bennett Ave, Milford, PA 18337-9759 |
| Seth E Hurwitz | Cardiovascular Disease (cardiology) | Bon Secours Charity Health System Medical Group, P.C. | 30 Hatfield Ln, Suite 209, Goshen, NY 10924-6768 |
| Yang Shih | Cardiovascular Disease (cardiology) | Bon Secours Charity Health System Medical Group, P.C. | 79 Route 59, Suffern, NY 10901-4913 |
| Street Address |
70 HATFIELD LN |
| City | GOSHEN |
| State | NY |
| Zip | 10924-6734 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily L Gordon | Internal Medicine | Bon Secours Charity Health System Medical Group, P.C. | 70 Hatfield Ln, Goshen, NY 10924-6734 |
| Alan Edward Schaffer | Pulmonary Disease | Bon Secours Charity Health System Medical Group, P.C. | 70 Hatfield Ln, Goshen, NY 10924-6734 |
| Thomas R Eanelli | Radiation Oncology | Thomas R. Eanelli Radiation Oncology Services, Pllc | 70 Hatfield Ln, Suite 103, Goshen, NY 10924-6735 |
| Petr Bezdicek | Pulmonary Disease | Bon Secours Charity Health System Medical Group, P.C. | 70 Hatfield Ln, Goshen, NY 10924-6734 |
| Deogenes Deleon | Pulmonary Disease | Bon Secours Charity Health System Medical Group, P.C. | 70 Hatfield Ln, Goshen, NY 10924-6734 |
| Mark Madis | Obstetrics/gynecology | Bon Secours Charity Health System Medical Group, P.C. | 70 Hatfield Ln, Goshen, NY 10924-6734 |
| John A Ferro | Neurology | Bon Secours Charity Health System Medical Group, P.C. | 70 Hatfield Ln, Goshen, NY 10924-6734 |
| Lesley Ann Stead | Hematology/oncology | Bon Secours Charity Health System Medical Group, P.C. | 70 Hatfield Ln, Goshen, NY 10924-6734 |
| Tomi T Prvulovic | Pain Management | 70 Hatfield Ln, Suite 201, Goshen, NY 10924-6735 | |
| Salvatore John Devincenzo | Pulmonary Disease | Bon Secours Charity Health System Medical Group, P.C. | 70 Hatfield Ln, Goshen, NY 10924-6734 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marc H Appel | Orthopedic Surgery | Warwick Valley Orthopedic Surgery, P.C. | 1997 State Route 17m 7, Goshen, NY 10924 |
| Gregory B Redding | Physical Therapy | Montgomery Physical Therapy and Wellness PC | 30 Hatfield Lane, Suite 201, Goshen, NY 10924 |
| Andrew J Gandolfo | Physical Therapy | Montgomery Physical Therapy and Wellness PC | 30 Hatfield Lane, Suite 201, Goshen, NY 10924 |
| Julie Benzenberg | Physical Therapy | Montgomery Physical Therapy and Wellness PC | 30 Hatfield Lane, Suite 201, Goshen, NY 10924 |
| Tara Singh | Physical Therapy | Montgomery Physical Therapy and Wellness PC | 30 Hatfield Lane, Suite 201, Goshen, NY 10924 |
| Sangeeta Buragohain | Physical Therapy | Montgomery Physical Therapy and Wellness PC | 30 Hatfield Lane, Suite 201, Goshen, NY 10924 |
| Jonathan Hunziker | Physical Therapy | Montgomery Physical Therapy and Wellness PC | 30 Hatfield Lane, Suite 201, Goshen, NY 10924 |
| Laura P Kennedy | Psychologist, Clinical | 28 Mcbride Place, Goshen, NY 10924-0841 | |
| Karen Mills | Physical Therapy | Orange County Cerebral Palsy Association | 2 Fletcher St, Goshen, NY 10924-1402 |
| Carmela Doyle | Speech Language Pathologist | Orange County Cerebral Palsy Association | 2 Fletcher St, Goshen, NY 10924-1402 |
| Find all physicians in zip 10924 | |||
| City | GOSHEN |
| Zip Code | 10924 |
| Specialty | HEMATOLOGY |
| City + Specialty | GOSHEN + HEMATOLOGY |
Please comment or provide details below to improve the information on Lidia Koulova.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.