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Individual

GEORGE LAZAROU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
120 MINEOLA BLVD, SUITE 100, MINEOLA, NY 11501-4064
(516) 663-3010
(516) 663-3026
Mailing address
120 MINEOLA BLVD, SUITE 100, MINEOLA, NY 11501-4064
(516) 663-3010
(516) 663-3026

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
210005
NY
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
210005
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01990674
NY
Enumeration date
10/17/2006
Last updated
02/05/2021
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