Individual
LACEY JAFFE ADLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-0327
Mailing address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-0327
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
024664
NY
Other
Enumeration date
09/04/2019
Last updated
12/01/2023
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