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Individual

MICHAEL LAZAROU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
16 SARATOGA BRIDGES BLVD, BALLSTON SPA, NY 12020-6236
(518) 373-1383
(518) 373-1387
Mailing address
16 SARATOGA BRIDGES BLVD, BALLSTON SPA, NY 12020-6236
(518) 373-1383
(518) 373-1387

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
002862-1
NY

Other

Enumeration date
05/10/2016
Last updated
05/10/2016
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