Individual
DAVID LOBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1824 MADISON AVE, NEW YORK, NY 10035-3832
(212) 423-4500
Mailing address
1824 MADISON AVE, NEW YORK, NY 10035-3832
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
024221
NY
Other
Enumeration date
05/09/2019
Last updated
02/13/2021
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