Individual
MR. LORENZO D TATIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3965 SEDGWICK AVE APT 14D, BRONX, NY 10463-3115
(718) 796-6471
Mailing address
3965 SEDGWICK AVE APT 14D, BRONX, NY 10463-3115
(718) 796-6471
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
NY
Other
Enumeration date
06/22/2012
Last updated
07/21/2022
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