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Individual

EMILIO LASTARRIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
158 NORTH ST, GENEVA, NY 14456-1647
(315) 719-0066
(315) 719-0373
Mailing address
35 MASON ST, SUITE 214, GENEVA, NY 14456-1133
(315) 230-5646
(315) 230-5645

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
173332
NY
208800000X
Urology Physician
Primary
74228
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
271102800
FL
01
P00082844
RR MEDICARE
FL
Enumeration date
09/13/2006
Last updated
03/04/2026
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