Individual
PAULINE ATHENA LOMIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2404 28TH ST # 2, ASTORIA, NY 11102-1904
(347) 418-1409
Mailing address
2404 28TH ST # 2, ASTORIA, NY 11102-1904
(347) 418-1409
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/18/2019
Last updated
11/18/2019
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