Organization
JONATHAN LAZARE UROLOGY TELEMEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN LAZARE (MD)
(718) 369-3300
Entity
Organization
Contact information
Practice address
1729 E 12TH ST FL 5, BROOKLYN, NY 11229-1088
(718) 369-3300
(718) 369-3301
Mailing address
1729 E 12TH ST FL 5, BROOKLYN, NY 11229-1088
(718) 369-3300
(718) 369-3301
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
12/29/2022
Last updated
12/29/2022
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