Individual
MICHAL LASOWSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 IDAHO ST, PASSAIC, NJ 07055-3336
(973) 815-0857
Mailing address
1 IDAHO ST, PASSAIC, NJ 07055-3336
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3647895
NY
Other
Enumeration date
04/20/2020
Last updated
04/20/2020
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