Individual
MISS DENNYS LORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1560 BOONE AVE APT 14F, BRONX, NY 10460-5846
(646) 750-2383
Mailing address
1560 BOONE AVE APT 14F, BRONX, NY 10460-5846
(646) 750-2383
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001485-P.A
PR
Other
Enumeration date
01/16/2024
Last updated
01/16/2024
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