Individual
LARA S OBOLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
130 E 77TH ST, 9TH FLOOR, NEW YORK, NY 10021-1851
(212) 434-2606
(212) 434-3139
Mailing address
120 E 87TH ST, NEW YORK, NY 10128-1116
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
204476
NY
207RC0000X
Cardiovascular Disease Physician
MD33499
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02812375
—
NY
05
—
033836400
—
DC
Enumeration date
07/10/2006
Last updated
07/08/2007
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