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Brandon Lazarus
Surgical Physician Assistant in Rockville Centre, New York
NPI 1992272694

Brandon Lazarus is a Surgical Physician Assistant based in North Bellmore, NY and is specialized in Surgical. Brandon Lazarus practices in Rockville Centre, NY. The NPI Number for Brandon Lazarus is 1992272694 and holds a License No. 022925-1 (New York).

The current practice location address for Brandon Lazarus is 1000 N Village Ave, Rockville Centre, NY and can be reached out via phone at 516-705-2525.

Location: 1000 N Village Ave, Rockville Centre, NY, 11710-3747
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Provider Profile Details
NPI Number
1992272694
Provider Name
Brandon Lazarus
Credential
Provider Entity Type
Individual
Gender
Male
Address
1000 N Village Ave, Rockville Centre, NY, 11710-3747
Phone Number
516-705-2525
Fax Number
Provider Enumeration Date
10/31/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
022925-1 01 NY NEW YORK STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
1000 N Village Ave
City
State
Zip
11570-1000
Phone Number
516-705-2525
Fax Number
person
Provider Business Mailing Address Details
Address
1000 N Village Ave
City
State
Zip
11570-1000
Phone Number
516-705-2525
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
022925-1 (New York)
Definition
Definition to come...
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