Individual
LYDIA MARRERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
579 COURTLANDT AVE, BRONX, NY 10451-5013
(347) 356-6697
Mailing address
1595 ALLERTON AVE, BRONX, NY 10469-6132
(347) 356-6697
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/07/2016
Last updated
03/07/2016
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