Organization
EAST 12TH STREET UROLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN N LAZARE (MD)
(718) 369-3300
Entity
Organization
Contact information
Practice address
1729 E 12TH ST FL 5, BROOKLYN, NY 11229-1088
(718) 369-3300
Mailing address
1729 E 12TH ST FL 5, BROOKLYN, NY 11229-1088
(718) 369-3300
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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