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Organization
LAFAYETTE MEDICAL, P.C.
Active
Organization
LAFAYETTE MEDICAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GASPARE A. POLIZZI M.D. (PRESIDENT)
(845) 928-2550
Entity
Organization
Contact information
Practice address
599 ROUTE 32, HIGHLAND MILLS, NY 10930-5200
(845) 928-2550
Mailing address
PO BOX 429, 599 ROUTE 32, HIGHLAND MILLS, NY 10930-5200
(845) 928-2550
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
157672
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01100343
—
NY
Enumeration date
02/07/2007
Last updated
05/12/2008
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