Individual
MR. BERNARD MATEO LAPUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
88-12 238TH ST, BELLEROSE, NY 11426
(646) 462-1062
Mailing address
8812 238TH ST, BELLEROSE, NY 11426-1230
(646) 462-1062
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
733831
NY
Other
Enumeration date
08/06/2017
Last updated
07/21/2022
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