Individual
DR. LOURDES INCIONG PUBLICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.,M.P.H.
Contact information
Practice address
506 MALCOLM X BLVD, HARLEM HOSPITAL REHABMEDICINE, ROOM 3122, NEW YORK, NY 10037-1802
(212) 939-4405
(212) 939-4405
Mailing address
303 W 66TH ST, APT. 15BW, NEW YORK, NY 10023-6305
(212) 939-4450
(212) 939-4405
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
184001
NY
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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