Individual
FRANCISCO A DE LARA SR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1525 PITKIN AVE, BROOKLYN, NY 11212-4516
(718) 342-6140
(718) 922-9439
Mailing address
668 COLFAX PL, N WOODMERE, NY 11581-3006
(516) 791-5183
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
097457
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00164301
—
NY
01
—
44150
BCBS
NY
Enumeration date
08/12/2005
Last updated
07/08/2007
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