Individual
DR. CONRADO SANTOS LOTA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
127 S BROADWAY, YONKERS, NY 10701-4006
(914) 378-7000
Mailing address
127 S BROADWAY, YONKERS, NY 10701-4006
(914) 378-7000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
162337-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01240853
—
NY
Enumeration date
02/21/2006
Last updated
04/24/2008
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