Individual
CAITLIN LAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
750 TILDEN ST, BRONX, NY 10467-6013
(718) 231-3400
Mailing address
750 TILDEN ST, BRONX, NY 10467-6013
(718) 231-3400
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00245029
—
NY
Enumeration date
11/30/2007
Last updated
11/30/2007
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