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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MRS. LARA KREIDIEH M.D.
NPI 1669399374
Student in an Organized Health Care Education/Training Program in Staten Island, NY

Active since July 02, 2026
475 SEAVIEW AVE, STATEN ISLAND, NY 10305(718) 226-6993 Get Directions Write a Review

NPPES record added: July 2, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Lara Kreidieh M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. LARA KREIDIEH M.D. (NPI 1669399374) is an individual student in an organized health care education/training program in Staten Island, New York and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1669399374
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMRS. LARA KREIDIEHCredential: M.D.
Location Address475 SEAVIEW AVEStaten Island, NY 10305
Mailing Address475 Seaview AveStaten Island, NY 10305
Phone(718) 226-6993
Sole ProprietorYes
Enumeration DateJuly 2, 2026
✔ NPI 1669399374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
475 SEAVIEW AVE, Staten Island, NY 10305
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. DAWN MARIE COTTONE RPA-C
Physician Assistant (Surgical)
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Richmond County (718) 226-9508
SHAMYLA FARRUKH MD
Emergency Medicine
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Richmond County (718) 226-9158
MS. CHRISTINE ANN SPRUFERO CCC - SLP
Speech-Language Pathologist
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Richmond County (718) 226-6521
DR. SAMANTHA MARIA LEE MD
Internal Medicine (Cardiovascular Disease)
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Richmond County (718) 226-9510
DR. SHOROK E HASSAN D.O.
Emergency Medicine
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Richmond County (718) 226-9000
DAVID K CHEN MD
Anesthesiology
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Richmond County (718) 226-9000
STEPHANIE M POWERS
Occupational Therapist
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Richmond County (718) 226-9466
KRISTEN COLANDREA PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Richmond County (347) 681-4146

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lara Kreidieh's NPI number?

The NPI number for Lara Kreidieh is 1669399374. It was assigned to this individual provider in the NPPES registry on July 2, 2026.

Where is Lara Kreidieh located?

Lara Kreidieh practices at 475 Seaview Ave, Staten Island, NY 10305. The listed phone number is (718) 226-6993.

What is Lara Kreidieh's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Lara Kreidieh was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.