Individual
ANNACIELA LAZARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5451 82ND ST FL 1, ELMHURST, NY 11373-4719
(347) 475-6978
Mailing address
5451 82ND ST FL 1, ELMHURST, NY 11373-4719
(347) 475-6978
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
30515
NY
Other
Enumeration date
06/27/2012
Last updated
06/27/2012
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