Individual
FARRAH BETH LAZARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
120 MINEOLA BLVD, SUITE 210, MINEOLA, NY 11501-4073
(516) 663-4600
(516) 663-8297
Mailing address
222 STATION PLZ N, SUITE 611, MINEOLA, NY 11501-3808
(516) 663-2532
(516) 663-2233
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
234404
NY
Other
Enumeration date
07/01/2008
Last updated
02/05/2021
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