Individual
MR. BRETT LASSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
73 MARKET ST, YONKERS, NY 10710-7616
(914) 831-4160
(914) 831-4161
Mailing address
73 MARKET ST, YONKERS, NY 10710-7616
(914) 831-4160
(914) 831-4161
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
007770
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1047917
NCCPA CERTIFICATE NUMBER
—
Enumeration date
06/16/2006
Last updated
05/22/2014
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