Organization
DR KRISTIE LAZZARA, DC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTIE R LAZZARA D.C. (OWNER DOCTOR)
(718) 885-7133
Entity
Organization
Contact information
Practice address
105 MACON AVE, STATEN ISLAND, NY 10312-2014
(718) 885-7133
Mailing address
105 MACON AVE, STATEN ISLAND, NY 10312-2014
(718) 885-7133
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
70011039
NY
Other
Enumeration date
01/09/2007
Last updated
09/06/2011
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