Individual
LAITH JAZRAWI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
333 E 38TH ST, NEW YORK, NY 10016-2772
(646) 501-7047
(646) 754-9505
Mailing address
333 E 38TH ST, NEW YORK, NY 10016-2772
(646) 501-7047
(646) 754-9505
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
204290
NY
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
204290
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02288580
—
NY
Enumeration date
09/21/2005
Last updated
03/23/2023
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