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Individual

MS. CAROLYN LOCKWOOD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
250 FULTON AVE STE 418, HEMPSTEAD, NY 11550-3916
(718) 374-5949
(646) 374-3955
Mailing address
13728 229TH ST, LAURELTON, NY 11413-2823
(718) 527-3592

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
759
NY

Other

Enumeration date
06/12/2017
Last updated
06/12/2017
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