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Individual

DR. LOURIVAL BAPTISTA NETO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3959 BROADWAY, 619 NORTH, NEW YORK, NY 10032-1559
(212) 305-7879
(212) 305-6614
Mailing address
1051 RIVERSIDE DR STE 6004, NEW YORK, NY 10032-1007
(646) 774-5365
(646) 774-5359

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
212802
MA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
250963
NY

Other

Enumeration date
05/26/2006
Last updated
04/24/2018
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