Individual
CHARLES LOMOTEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1795 MANSION ST, BRONX, NY 10460-3251
(917) 795-9418
Mailing address
1795 MANSION ST, BRONX, NY 10460-3251
(917) 795-9418
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
314529-1
NY
Other
Enumeration date
09/04/2013
Last updated
09/04/2013
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