Individual
DR. STEPHEN LAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
575 HUDSON VALLEY AVE, STE 200, NEW WINDSOR, NY 12553-4746
(845) 561-2773
(914) 593-7881
Mailing address
PO BOX 5801, NEW YORK, NY 10087-5801
(914) 593-7880
(914) 593-7881
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
176285
NY
207RC0000X
Cardiovascular Disease Physician
Primary
176285
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01128165
—
NY
01
—
060048910
RAIL ROAD MEDICARE
NY
01
—
25F913K222
PTAN
NY
Enumeration date
05/24/2005
Last updated
04/16/2021
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