Individual
CHRISTOPHER ROBERT LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1400 PELHAM PKWY S, BRONX, NY 10461-1138
(718) 918-4037
Mailing address
1400 PELHAM PKWY S, BRONX, NY 10461-1138
(718) 918-4037
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
101318
NY
Other
Enumeration date
05/26/2018
Last updated
05/26/2018
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