Individual
MRS. BASI LAZARUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
459 VIOLA RD, SPRING VALLEY, NY 10977-2035
(845) 356-0191
Mailing address
10 TAMMY RD, SPRING VALLEY, NY 10977-1318
(845) 290-0978
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
010522-1
NY
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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