Individual
LAKEYRA CRISMY COLLADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
529 COURTLANDT AVE, BRONX, NY 10451-5007
(646) 623-4540
Mailing address
529 COURTLANDT AVE, BRONX, NY 10451-5007
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/16/2021
Last updated
12/16/2021
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