Individual
ANTHONY JOSEPH LAZZARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14 LUNA CIR, STATEN ISLAND, NY 10312-6047
(917) 280-5326
Mailing address
14 LUNA CIR, STATEN ISLAND, NY 10312-6047
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/29/2019
Last updated
09/09/2020
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