Individual
KAL LEZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3 CENTURY DR, PARSIPPANY, NJ 07054-4610
(518) 308-8166
Mailing address
59 WALL ST, PLATTSBURGH, NY 12901-3755
(518) 308-8166
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
023674
NY
Other
Enumeration date
05/21/2019
Last updated
11/04/2019
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