Individual
DARA MICHELLE LAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSED MASSAGE THE
Contact information
Practice address
14-17 31ST AVENUE, APT 2B, ASTORIA, NY 11106
(347) 218-1641
Mailing address
14-17 31ST AVENUE, APT 2B, ASTORIA, NY 11106
(347) 218-1641
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
018746
NY
Other
Enumeration date
06/22/2017
Last updated
07/21/2022
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