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Individual

MR. ANTONIO MARIN LAZO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
22 DEVONSHIRE DR, NEW HYDE PARK, NY 11040-3614
(516) 474-0312
Mailing address
22 DEVONSHIRE DR, NEW HYDE PARK, NY 11040-3614
(516) 474-0312

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
131121
NY

Other

Enumeration date
04/03/2026
Last updated
04/03/2026
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