institution
Bernardita T Lazo Md Pc
Specialist in Islip, New York
NPI 1033572797

Bernardita T Lazo Md Pc is a Specialist based in Islip, NY. Bernardita T Lazo Md Pc practices in Islip, NY. The NPI Number for Bernardita T Lazo Md Pc is 1033572797 and holds a License No. 153442 (New York).

The current practice location address for Bernardita T Lazo Md Pc is 2330 Union Blvd, Islip, NY and can be reached out via phone at 631-224-4811 and via fax at 631-224-4940.

Location: 2330 Union Blvd, Islip, NY, 11751-3172
institution
Provider Profile Details
NPI Number
1033572797
Provider Name
Bernardita T Lazo Md Pc
Credential
Provider Entity Type
Organization
Address
2330 Union Blvd, Islip, NY, 11751-3172
Phone Number
631-224-4811
Fax Number
631-224-4940
Provider Enumeration Date
03/31/2016
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1861407355 05 NY
institution
Provider Business Practice Location Address Details
Address
2330 Union Blvd
City
State
Zip
11751-3172
Phone Number
631-224-4811
Fax Number
631-224-4940
person
Provider Business Mailing Address Details
Address
2330 Union Blvd
City
State
Zip
11751-3172
Phone Number
631-224-4811
Fax Number
631-224-4940
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
153442 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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