Individual
JEROME LOMERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
122 E 42ND ST, SUITE 3000, NEW YORK, NY 10168-0002
(212) 338-6960
Mailing address
58 SKYLINE DR, CORAM, NY 11727-3699
(631) 846-3873
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
12/20/2011
Last updated
12/20/2011
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