| Johanny Lama, | |
|
2759 Crescent St Bsmt, Astoria, NY 11102-4292 | |
| (718) 626-0111 | |
| Not Available |
| Full Name | Johanny Lama |
|---|---|
| Gender | Female |
| Speciality | Specialist |
| Location | 2759 Crescent St Bsmt, Astoria, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609535806 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 2665832 (New York) | Secondary |
| 174400000X | Specialist | 2665832 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Johanny Lama, 2759 Crescent St Bsmt, Astoria, NY 11102-4292 Ph: (718) 626-0111 | Johanny Lama, 2759 Crescent St Bsmt, Astoria, NY 11102-4292 Ph: (718) 626-0111 |
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