JOHANNY LAMA

ASTORIA, NY
NPI1609535806
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy174400000X Specialist
(Licence: NY  2665832)
Additional Taxonomies208000000X Pediatrics
(Licence: NY  2665832)
Enumeration Date2021-12-15
Last Update Date2021-12-15
Business Address
JOHANNY LAMA
2759 CRESCENT ST BSMT
ASTORIA, NY 11102-4292
Phone number: 718-626-0111
Mailing Address
JOHANNY LAMA
2759 CRESCENT ST BSMT
ASTORIA, NY 11102-4292
Phone number: 718-626-0111