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Organization

ENGRACIA O. LAZATIN, MD, PC

Active
Other names
Advanced Multi-Medicine & Rehab
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEPHEN ATHAN DC (OFFICE MANAGER)
(516) 334-7000
Entity
Organization

Contact information

Practice address
1065 OLD COUNTRY RD, SUITE 214, WESTBURY, NY 11590-5640
(516) 334-7000
(516) 334-7082
Mailing address
1065 OLD COUNTRY RD, SUITE 214, WESTBURY, NY 11590-5640
(516) 334-7000
(516) 334-7082

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
X008423
NY
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A193731-1
NY

Other

Enumeration date
11/16/2007
Last updated
11/16/2007
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