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Individual

DR. ROBERT MICHAEL LAZAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1092 JERICHO TPKE STE 2S, COMMACK, NY 11725-3016
(631) 543-8660
(631) 543-8661
Mailing address
1092 JERICHO TPKE STE 2S, COMMACK, NY 11725-3016
(631) 543-8660
(631) 543-8661

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
153441
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0001755
IND. HEALTH
01
0270298
CIGNA
NY
01
2593739
GHI
01
29866
AETNA / US HEALTHCARE
01
31048
VYTRA
01
3V6281
BLUE CHOICE
NY
01
4C3299
HEALTHNET
01
71232
GHI (HMO)
01
AA50365
MDNY
01
CS317
OXFORD
Enumeration date
12/08/2005
Last updated
02/04/2022
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