Individual
MRS. LUCIA M BOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
16 E 60TH ST, SUITE 301, NEW YORK, NY 10022-1096
(646) 888-3551
(646) 888-3552
Mailing address
1161 YORK AVE, APT 11J, NEW YORK, NY 10065-7940
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F305719-1
NY
Other
Enumeration date
08/20/2013
Last updated
05/08/2017
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