Individual
DR. IRWIN L AZAR
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1644 E 14TH ST, BROOKLYN, NY 11229-1104
(718) 645-3000
(718) 645-4393
Mailing address
1644 E 14TH ST, BROOKLYN, NY 11229-1104
(718) 645-3000
(718) 645-4393
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0268111
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01410168
—
NY
Enumeration date
11/15/2005
Last updated
07/08/2007
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