Individual
AVIGAYIL LAZARUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
548 MEEHAN AVE, FARROCKAWAY, NY 11691
(718) 321-6764
Mailing address
548 MEEHAN AVE, FARROCKAWAY, NY 11691
(718) 321-6764
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
NY
Other
Enumeration date
08/05/2015
Last updated
08/05/2015
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