Individual
DR. JAMIE LANZILLOTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
145 FRANKLIN PLACE, FIVE TOWNS PEDIATRICS, WOODMERE, NY 11598
(516) 295-1200
(516) 295-1207
Mailing address
145 FRANKLIN PLACE, FIVE TOWNS PEDIATRICS, WOODMERE, NY 11598
(516) 295-1200
(516) 295-1207
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
243824
NY
208000000X
Pediatrics Physician
HOO63953
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04013636
—
NY
Enumeration date
01/18/2007
Last updated
11/19/2015
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