Individual
MOLLIE EMMA LOBL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1225 MORRIS PARK AVE, BRONX, NY 10461-1949
(718) 839-7020
Mailing address
1225 MORRIS PARK AVE, BRONX, NY 10461-1949
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
309573
NY
Other
Enumeration date
03/27/2018
Last updated
03/12/2024
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