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Individual

LEANDRO LEPIDO LOZADA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
229 E KINGSBRIDGE RD, MEDICAL SUITE, BRONX, NY 10458-4413
(718) 584-8000
(718) 584-7132
Mailing address
229 E KINGSBRIDGE RD, MEDICAL SUITE, BRONX, NY 10458-4413
(718) 584-8000
(718) 584-7132

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
207455
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01792227
NY
01
207455
MEDICAL LICENSE
NY
Enumeration date
09/17/2006
Last updated
07/09/2007
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