Individual
DR. JESUS ANGEL LAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
558 WESTCHESTER AVE, RYE BROOK, NY 10573-2815
(914) 882-6890
Mailing address
1 CYPRESS POINT DR, PURCHASE, NY 10577-1503
(914) 882-6890
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
182355
NY
Other
Enumeration date
08/31/2006
Last updated
04/04/2008
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