CODIE R LAKE

BRONX, NY
NPI1144894718
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WP0808X Registered Nurse, Psych/Mental Health
(Licence: NY  726518)
Enumeration Date2021-05-18
Last Update Date2021-05-18
Business Address
CODIE R LAKE RN
2039 NEREID AVE
BRONX, NY 10466-1110
Phone number: 917-645-6440
Mailing Address
CODIE R LAKE RN
2039 NEREID AVE
BRONX, NY 10466-1110
Phone number: 917-645-6440