Individual
LOURDES MAISONET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
111 E 210TH ST, MMC - PEDIATRIC EMERGENCY MED., BRONX, NY 10467-2401
(718) 741-2150
Mailing address
1108 SOMERSET KNL, BREWSTER, NY 10509-6522
(718) 741-2150
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
186080
NY
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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