Individual
STANISLAV LAZAREV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1184 5TH AVENUE, FIRST FLOOR, PM-124, NEW YORK, NY 10029-1002
(646) 872-9186
(212) 410-7194
Mailing address
1411 E 31ST ST, ACMC/HIGHLAND HOSPITAL, DEPT MEDICINE, A2 ROOM 18, OAKLAND, CA 94602-1018
(650) 518-1032
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
298670-1
NY
282N00000X
General Acute Care Hospital
—
—
Other
Enumeration date
03/27/2014
Last updated
08/14/2020
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