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Individual

DR. LOLITA MONTOLO UY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3553 77TH ST, 2-B, JACKSON HEIGHTS, NY 11372-4551
(718) 457-7998
Mailing address
3553 77TH ST, APT. 2-B, JACKSON HEIGHTS, NY 11372-4551
(718) 457-7998

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
186048
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01854475
NY
Enumeration date
07/25/2006
Last updated
12/03/2008
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