Individual
FOZIA LASHARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 ROANOKE AVE, RIVERHEAD, NY 11901-2031
(631) 548-6000
Mailing address
1300 ROANOKE AVE, RIVERHEAD, NY 11901-2031
(631) 548-6000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
028815
NY
Other
Enumeration date
09/16/2022
Last updated
09/16/2022
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