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1164506523
EDGARDO LUGO
BRONX, NY
NPI
1164506523
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY R075701)
Enumeration Date
2006-10-24
Last Update Date
2014-01-10
Business Address
-- EDGARDO LUGO R075701
3600 JEROME AVE
BRONX, NY 10467-1052
Phone number: 718-881-7600
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Mailing Address
-- EDGARDO LUGO R075701
7910 34TH AVE APARTMENT 3A
JACKSON HEIGHTS, NY 11372-2437
Phone number: 718-541-1899
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