Individual
NIEVES LARA-DELGADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
293 HIGHWOOD AVE, TEANECK, NJ 07666-3217
(718) 926-8825
Mailing address
293 HIGHWOOD AVE, TEANECK, NJ 07666-3217
(718) 926-8825
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
284673091
NY
174400000X
Specialist
284674091
NY
Other
Enumeration date
08/20/2013
Last updated
08/20/2013
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