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Individual

DR. CATHY JO LORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
55 HORIZON DR, HUNTINGTON, NY 11743-4436
(631) 920-8000
(631) 920-8164
Mailing address
46 BROOME AVE, ATLANTIC BEACH, NY 11509-1214
(516) 239-2453

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
190564
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080769
TUFTS HEALTH PLAN
MA
Enumeration date
11/03/2005
Last updated
03/28/2014
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