Individual
DR. LARA ZUCCONI VANYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
175 E 96TH ST APT 12C, NEW YORK, NY 10128-6206
(650) 823-3595
Mailing address
175 E 96TH ST APT 12C, NEW YORK, NY 10128-6206
(650) 823-3595
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
130453
OH
207P00000X
Emergency Medicine Physician
Primary
294743
NY
Other
Enumeration date
03/22/2013
Last updated
12/05/2023
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