Individual
MR. AVI S. LASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
160 N MIDLAND AVE, NYACK, NY 10960-1912
(845) 685-0487
Mailing address
651 W MOUNT PLEASANT AVE, LIVINGSTON, NJ 07039-1600
(973) 251-1086
(973) 251-1109
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
008653
NY
Other
Enumeration date
05/16/2006
Last updated
08/04/2008
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