Lori Avery

NPI #1003330283 in Valley Stream, New York

Provider Information

NPI Number: 1003330283
Entity Type: Individual
Name: Lori Avery
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Jul 31, 2017
Last Updated: Jul 31, 2017

Practice Location

Address: 23 MARLOW RD
City: Valley Stream
State: New York
ZIP Code: 11580-3705
Phone: (516) 884-7742

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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