Individual
JOSHUA XAVIER LAMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2571 E 17TH ST, BROOKLYN, NY 11235-3515
(929) 371-2131
Mailing address
2571 E 17TH ST, BROOKLYN, NY 11235-3515
(929) 371-2131
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
612914082
—
NY
Enumeration date
06/18/2018
Last updated
06/18/2018
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