Individual
LAZAR KHAIMOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
49 FOREST RD, MONROE, NY 10950-2923
(845) 782-3242
(845) 782-2145
Mailing address
49 FOREST RD, MONROE, NY 10950-2923
(845) 782-3242
(845) 782-2145
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
295053
NY
Other
Enumeration date
04/02/2015
Last updated
04/26/2022
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