Individual
CARMEN LUZ JORLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASTEROF EDUCATION
Contact information
Practice address
429 E 157TH ST, BRONX, NY 10451-4529
(917) 567-9140
Mailing address
429 E 157TH ST, BRONX, NY 10451-4529
(917) 567-9140
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
718451
NY
Other
Enumeration date
02/04/2013
Last updated
02/04/2013
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