Individual
ANTONETA LAMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-2247
Mailing address
22 CLIFFORD DR, WAYNE, NJ 07470-3502
(917) 680-7476
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
09/19/2017
Last updated
12/21/2021
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