Individual
AMANDA LAZZERONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
705 MANHATTAN AVE, BROOKLYN, NY 11222-2909
(347) 474-8464
Mailing address
705 MANHATTAN AVE, BROOKLYN, NY 11222-2909
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
124725-01
NY
Other
Enumeration date
01/23/2025
Last updated
01/23/2025
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