Individual
LANCE BARAZANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5847 188TH ST, FRESH MEADOWS, NY 11365-2201
(718) 357-8200
(718) 357-5770
Mailing address
6 LOWELL AVE, NEW HYDE PARK, NY 11040-2810
(516) 326-4160
(516) 437-0482
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
171519
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01689032
—
NY
Enumeration date
07/26/2005
Last updated
06/30/2008
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