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Organization

MONTEFIORE MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MICHELLE DAWN LAZOS PA (CRITICAL CARE PHYSICIAN ASSISTANT)
(718) 904-3415
Entity
Organization

Contact information

Practice address
48 UNION AVE, AMITYVILLE, NY 11701-3024
(631) 532-5002
Mailing address
48 UNION AVE, AMITYVILLE, NY 11701-3024
(631) 532-5002

Taxonomy

Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary

Other

Enumeration date
05/25/2007
Last updated
03/17/2009
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