Individual
MR. MICHAEL LORETO ADRIANO LAZARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3660 WALDO AVE APT 6K, BRONX, NY 10463-2229
(917) 743-6116
Mailing address
177A E MAIN ST # 252, NEW ROCHELLE, NY 10801-5711
(917) 743-6116
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
009862-01
NY
Other
Enumeration date
07/04/2022
Last updated
07/04/2022
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