Individual
AMANDA CATHERINE LORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
67 BEACHWOOD DR, BABYLON, NY 11702-2425
(631) 896-2136
Mailing address
67 BEACHWOOD DR, BABYLON, NY 11702-2425
(631) 896-2136
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1346884
NY
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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