Individual
JEFFREY LAZARUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3 CENTER HILL RD, MONROE, NY 10950-4805
(845) 783-1311
Mailing address
33 S PARKER DR, MONSEY, NY 10952-1604
(845) 596-2349
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
063350
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2022
Last updated
08/25/2023
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