Individual
MRS. LORI S. MATULEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.P.
Contact information
Practice address
500 CENTRAL AVE., EQUINOX, INC., ALBANY, NY 12206
(518) 435-9931
(518) 435-9937
Mailing address
500 CENTRAL AVE, EQUINOX, INC., ALBANY, NY 12206
(518) 435-9931
(518) 435-9937
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F-401682
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
F401682-1
NY
Other
Enumeration date
04/25/2014
Last updated
03/02/2018
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