Individual
LAINIE JESMARION MATEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6545 FRESH MEADOW LN, FRESH MEADOWS, NY 11365-2011
(718) 267-5441
(718) 267-5442
Mailing address
6545 FRESH MEADOW LN, FRESH MEADOWS, NY 11365-2011
(718) 267-5441
(718) 267-5442
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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