Individual
ANA SOFIA LUCERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
850 BAYCHESTER AVE, BRONX, NY 10475-1702
(718) 904-5750
Mailing address
850 BAYCHESTER AVE, BRONX, NY 10475-1702
(718) 904-5750
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
028209-1
NY
Other
Enumeration date
12/26/2018
Last updated
12/26/2018
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