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Eric Erody Lora

Specialist in Brooklyn, NY. Individual provider (NPI-1).

NPI number1063774545
StatusActive
Last updated in NPPESJun 11, 2012

Details

NPI
1063774545
Entity type
Individual (NPI-1)
Name
Eric Erody Lora
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 11, 2012
Last updated
Jun 11, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X Specialist––Yes

Practice location

16 Renaissance Ct
Unit 16a
Brooklyn, NY 11206-4606

Phone 718-791-8988

Mailing address

16 Renaissance Ct
Unit 16a
Brooklyn, NY 11206-4606

Phone 718-791-8988

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