Individual
DR. STEWART KEITH LAZOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, DDS
Contact information
Practice address
445 LENOX RD, UNIVERSITY HOSPITAL BOX 76, BROOKLYN, NY 11203-2017
(718) 245-2987
(718) 245-3577
Mailing address
445 LENOX RD, UNIVERSITY HOSPITAL BOX 76, BROOKLYN, NY 11203-2017
(718) 245-2987
(718) 245-3577
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
035696
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01319300
—
NY
Enumeration date
02/24/2006
Last updated
03/27/2015
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