Individual
DR. LAZAROS POULTSIDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MSC, PHD
Contact information
Practice address
535 E 70TH ST, NEW YORK, NY 10021-4823
(212) 774-2387
Mailing address
535 E 70TH ST, NEW YORK, NY 10021-4823
(212) 774-2387
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
N/A
ZZ
Other
Enumeration date
06/12/2011
Last updated
05/14/2015
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