Individual
AUDREY LAMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10030 DITMARS BLVD, FLUSHING, NY 11369-1333
(718) 898-6471
Mailing address
113 W 144TH ST APT 1A, NEW YORK, NY 10030-1339
(646) 675-8437
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
20240803
NY
Other
Enumeration date
03/06/2025
Last updated
03/06/2025
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