Individual
RACHEL LASAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 GRIDLEY AVE, STATEN ISLAND, NY 10303-2204
(718) 448-7774
Mailing address
2 GRIDLEY AVE, STATEN ISLAND, NY 10303-2204
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
010733-1
NY
Other
Enumeration date
10/18/2013
Last updated
10/18/2013
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