Individual
MILDRED LUGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7849 85TH ST # 1, GLENDALE, NY 11385-7614
(646) 322-2016
Mailing address
7849 85TH ST # 1, GLENDALE, NY 11385-7614
(646) 322-2016
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
1378961201
NY
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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