Individual
DR. ATHENA MARIA LOLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
301 E 17TH ST STE 1534, NEW YORK, NY 10003-3804
(212) 598-6194
Mailing address
301 E 17TH ST STE 1534, NEW YORK, NY 10003-3804
(212) 598-6194
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
257408
NY
2084N0600X
Clinical Neurophysiology Physician
257408
NY
Other
Enumeration date
09/30/2009
Last updated
02/19/2021
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