Organization
LAZCANO PROCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRENE ENRIQUEZ LAZCANO R.P.T. (VICE PRESIDENT)
(646) 262-9876
Entity
Organization
Contact information
Practice address
5852 43RD AVE # 2R, WOODSIDE, NY 11377-4852
(718) 305-2173
(718) 305-2173
Mailing address
5852 43RD AVE # 2R, WOODSIDE, NY 11377-4852
(718) 305-2173
(718) 305-2173
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
024082
NY
Other
Enumeration date
06/08/2015
Last updated
06/08/2015
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