Individual
MS. BETH LAZARUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
21704 NORTHERN BLVD, SUITE 29, BAYSIDE, NY 11361-3500
(718) 423-7371
Mailing address
217-04 NORTHERN BLVD, SUITE 29, BAYSIDE, NY 11361
(718) 423-7371
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R0211921
NY
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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