Individual
ELEONOR GUTIERREZ LAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
50 N CARLL AVE, BABYLON, NY 11702
(631) 661-3693
(631) 661-3734
Mailing address
50 N. CARLL AVE, BABYLON, NY 11702
(631) 661-3693
(631) 661-3734
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
197684
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01619781
—
NY
Enumeration date
10/04/2006
Last updated
03/13/2026
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