Individual
LODOE SANGMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1468 MADISON AVE, NEW YORK, NY 10029-6508
(212) 241-6500
Mailing address
ONE GUSTAE L. LEVY PLACE BOX 1118, NEW YORK, NY 10029
(212) 241-6609
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
323368
NY
208M00000X
Hospitalist Physician
Primary
323368
NY
Other
Enumeration date
04/21/2021
Last updated
07/01/2024
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