Individual
NATHALY P LLORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-0914
Mailing address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-0914
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
309026
NY
Other
Enumeration date
04/05/2014
Last updated
02/12/2024
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