Individual
DR. JUANITA ONG LAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
333 LAFAYETTE AVE, #PB, BROOKLYN, NY 11238
(718) 789-1116
Mailing address
121 DE KALB AVENUE, BROOKLYN, NY 11201
(718) 789-1116
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
115220
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00211918
—
NY
Enumeration date
10/31/2006
Last updated
11/26/2010
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