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Individual

DEBORAH LAZARUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1225 PARK AVE, SUITE 1SC, NEW YORK, NY 10128-1758
(212) 787-4183
Mailing address
1225 PARK AVE, SUITE 1SC, NEW YORK, NY 10128-1758
(212) 787-4183

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
014065
103TC2200X
Clinical Child & Adolescent Psychologist
014065
NY

Other

Enumeration date
06/24/2008
Last updated
06/24/2008
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